| Jessica Jean Custer, | |
|
1086 Franklin St, Johnstown, PA 15905-4305 | |
| (814) 534-9000 | |
| Not Available |
| Full Name | Jessica Jean Custer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1086 Franklin St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053085530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024049 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conemaugh Memorial Medical Center | Johnstown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dlp Conemaugh Physician Practices Llc | 7315166949 | 256 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Jean Custer, 134 Venango Trl, Davidsville, PA 15928-9638 Ph: (814) 241-4571 | Jessica Jean Custer, 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 534-9000 |
Pamela Geary, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Franklin St, Wessel Building Level D, Johnstown, PA 15905 Phone: 814-534-5042 Fax: 814-534-5045 | |
Patrice Janice Wilson, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Fl 7, Johnstown, PA 15905 Phone: 678-593-9020 | |
Lisa Devineni, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Locust St, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-6750 Fax: 814-534-6760 | |
Mrs. Kimberly R. Wisniewski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 Main St, Suite 5 G, Johnstown, PA 15901 Phone: 814-535-7721 Fax: 814-535-2105 | |
Michele Marie Swanhart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Franklin St, Johnstown, PA 15901 Phone: 814-539-7507 Fax: 814-535-5547 | |
Brittany Louise Walker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5211 | |
Lori Beth Claycomb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-615-2014 |