Jamie Wade, PMHNP | |
84 W South Street, Wilkes-barre, PA 18701 | |
(602) 388-0888 | |
Not Available |
Full Name | Jamie Wade |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 84 W South Street, Wilkes-barre, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225730997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 289350 (Arizona) | Primary |
Entity Name | Mind 247 Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
Mailing Address | Practice Location Address |
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Jamie Wade, PMHNP 3104 E Camelback Rd Unit 7562, Phoenix, AZ 85016-4502 Ph: (602) 388-0888 | Jamie Wade, PMHNP 84 W South Street, Wilkes-barre, PA 18701 Ph: (602) 388-0888 |
Frank Bernard Kislan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 North River Street, Wilkes-barre, PA 18703 Phone: 570-552-1003 | |
Mrs. Nancy Jean Bodman-goy, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Mundy Street, Wilkes-barre, PA 18702 Phone: 570-824-0930 Fax: 570-824-7755 | |
Courtenay Jayne Mcdonough, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 Phone: 570-762-6778 | |
Mrs. Ruthann Taylor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 613 Baltimore Drive, Suite 3, Heartland Hospice, Wilkes-barre, PA 18702 Phone: 866-380-5874 Fax: 800-518-4329 |