Iryna Lautsevich, | |
2361 Huntingdon Pike Ste 2, Huntingdon Valley, PA 19006-6128 | |
(215) 454-2566 | |
Not Available |
Full Name | Iryna Lautsevich |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2361 Huntingdon Pike Ste 2, Huntingdon Valley, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326722042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP024307 (Pennsylvania) | Primary |
Entity Name | Tridentusa Mobile Clinical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942554837 PECOS PAC ID: 6709030133 Enrollment ID: O20140429000780 |
Mailing Address | Practice Location Address |
---|---|
Iryna Lautsevich, 2361 Huntingdon Pike Ste 2, Huntingdon Valley, PA 19006-6128 Ph: (215) 454-2566 | Iryna Lautsevich, 2361 Huntingdon Pike Ste 2, Huntingdon Valley, PA 19006-6128 Ph: (215) 454-2566 |
Renee Marie Hartman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 727 Welsh Rd Ste 202, Huntingdon Valley, PA 19006 Phone: 215-914-2119 Fax: 215-914-1663 | |
Mrs. Sandra N Mazzella, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Masons Mill Rd Ste 503, Huntingdon Valley, PA 19006 Phone: 215-938-7730 | |
Mrs. Jessly Alex, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 Henrietta Ave Ste C, Huntingdon Valley, PA 19006 Phone: 215-663-9380 Fax: 215-663-9383 | |
Caitlin Mary Alsdorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Byberry Rd Ste 1203, Huntingdon Valley, PA 19006 Phone: 908-782-0600 | |
Renata Dukat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Meadowbrook Dr, Huntingdon Valley, PA 19006 Phone: 267-885-6757 | |
Mrs. Lauren Slack Houser, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Byberry Rd, Suite 703, Huntingdon Valley, PA 19006 Phone: 215-947-9131 Fax: 215-947-7194 |