Ivy Elizabeth Deegan, CRNP | |
4740 Peach St, Erie, PA 16509-2008 | |
(814) 454-3174 | |
(814) 616-8002 |
Full Name | Ivy Elizabeth Deegan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4740 Peach St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356088272 | NPI | - | NPPES |
RN682711 | Other | PA | MEDICAL LICENSE |
SP025602 | Other | PA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025602 (Pennsylvania) | Primary |
Entity Name | Medical Associates Of Erie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649205816 PECOS PAC ID: 2769402783 Enrollment ID: O20051205000786 |
Entity Name | Millcreek Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508198748 PECOS PAC ID: 8426020173 Enrollment ID: O20110322000202 |
Entity Name | Millcreek Community Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568097939 PECOS PAC ID: 8426020173 Enrollment ID: O20200616000936 |
Entity Name | Millcreek Community Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1245865815 PECOS PAC ID: 8426020173 Enrollment ID: O20200617000674 |
Mailing Address | Practice Location Address |
---|---|
Ivy Elizabeth Deegan, CRNP 1 Lecom Pl, Erie, PA 16505-2571 Ph: (814) 868-2507 | Ivy Elizabeth Deegan, CRNP 4740 Peach St, Erie, PA 16509-2008 Ph: (814) 454-3174 |
Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074 | |
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278 | |
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 | |
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809 | |
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850 |