Elizabeth Thiede, CRNP | |
132 Abigail Ln, Port Matilda, PA 16870-7153 | |
(814) 272-7100 | |
(814) 272-6501 |
Full Name | Elizabeth Thiede |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 132 Abigail Ln, Port Matilda, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467998336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN683533 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP024313 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Nittany Medical Center | State college, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Thiede, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Elizabeth Thiede, CRNP 132 Abigail Ln, Port Matilda, PA 16870-7153 Ph: (814) 272-7100 |
Mallory Starr Devore, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7710 | |
Jody L Mchail, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 | |
Mrs. Joanna Martin Gunnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Mail Stop 57-00, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6509 | |
Elissa R Rhed, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Sanga Jung, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 | |
Ashley Megan Enciso, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 800-230-4565 | |
Matthew Hunter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-7100 Fax: 814-272-6501 |