Ellen M Dyer, CRNP | |
2645 N 3rd St, Harrisburg, PA 17110-2001 | |
(717) 782-6800 | |
(717) 782-6801 |
Full Name | Ellen M Dyer |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2645 N 3rd St, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114068061 | NPI | - | NPPES |
102666740 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP005993D (Pennsylvania) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | SP005993D (Pennsylvania) | Primary |
Entity Name | Upmc Pinnacle Hospitals |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1073617718 PECOS PAC ID: 3971417874 Enrollment ID: O20031210000421 |
Entity Name | Pinnacle Health Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
Mailing Address | Practice Location Address |
---|---|
Ellen M Dyer, CRNP 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: (717) 782-6800 | Ellen M Dyer, CRNP 2645 N 3rd St, Harrisburg, PA 17110-2001 Ph: (717) 782-6800 |
Mrs. Elena Yurievna Nebrat, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568 | |
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 | |
Yanxia Wang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 South Front Street, 6th Floor Bma, Harrisburg, PA 17104 Phone: 717-988-9370 Fax: 717-703-0154 | |
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131 | |
Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646 | |
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781 | |
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621 |