Jenna Walck, | |
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | |
(484) 337-3000 | |
Not Available |
Full Name | Jenna Walck |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
Location | 130 S Bryn Mawr Ave, Bryn Mawr, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023473659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 20795 (Tennessee) | Primary |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
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Jenna Walck, 4111 Idaho Ave, Nashville, TN 37209-3678 Ph: () - | Jenna Walck, 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 Ph: (484) 337-3000 |
Mrs. Jodi Lynn Kanzinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Suite H321, Bryn Mawr, PA 19010 Phone: 484-337-4097 Fax: 484-337-4086 | |
Harriet Marie Mccarney, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 E Lancaster Ave, Bryn Mawr, PA 19010 Phone: 610-525-3225 Fax: 610-525-4932 | |
Stephanie Nicole Libes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 215-662-3743 Fax: 215-349-5895 | |
Ms. Meghan R. Skakun, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr Hospital, Bryn Mawr, PA 19010 Phone: 484-337-4618 Fax: 484-337-4661 | |
Awilda Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Old Lancaster Rd Ste 206, Bryn Mawr, PA 19010 Phone: 484-380-3094 | |
Rachel Melissa Goldstein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 918 County Line Rd, Bryn Mawr, PA 19010 Phone: 610-525-6086 |