Ise Kannebecker, CRNP - Medicare Nurse Practitioner in Lake Como, PA

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Ise Kannebecker, CRNP is a medicare enrolled "Nurse Practitioner" in Lake Como, Pennsylvania. Her current practice location is 412 Como Rd, Lake Como, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 798-2828.

Ise Kannebecker is licensed to practice in Pennsylvania (license number SP015305) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790156578.

Contact Information

Ise Kannebecker, CRNP
412 Como Rd,
Lake Como, PA 18437-1020
(570) 798-2828
(570) 798-2636

Map and Direction




Provider's Profile

Full NameIse Kannebecker
GenderFemale
SpecialityNurse Practitioner
Location412 Como Rd, Lake Como, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790156578
  • Provider Enumeration Date: 10/19/2015
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173826765
  • Enrollment ID: I20160114000465

Medical Identifiers

Medical identifiers for Ise Kannebecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790156578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP015305 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ise Kannebecker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ise Kannebecker, CRNP
601 Park St,
Honesdale, PA 18431-1445

Ph: (570) 253-8226		Ise Kannebecker, CRNP
412 Como Rd,
Lake Como, PA 18437-1020

Ph: (570) 798-2828

Reviews and Comments


Nurse Practitioner Nurses in Lake Como, PA

Mrs. Mary Jo Bishop, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 412 Como Road, Lake Como, PA 18437
Phone: 570-251-6641    Fax: 570-253-8228

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.