Julian K Derr, CRNP | |
2605 Keiser Blvd, Wyomissing, PA 19610-3338 | |
(610) 685-8500 | |
(610) 685-4833 |
Full Name | Julian K Derr |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 2605 Keiser Blvd, Wyomissing, 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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1215406293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP019006 (Pennsylvania) | Primary |
Entity Name | Penn State Health Community Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
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Julian K Derr, CRNP Po Box 448, East Petersburg, PA 17520-0448 Ph: (717) 391-7092 | Julian K Derr, CRNP 2605 Keiser Blvd, Wyomissing, PA 19610-3338 Ph: (610) 685-8500 |
Susan L O'brien, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Jennifer Lynn Burnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610 Phone: 484-628-5673 Fax: 484-628-3139 | |
Janina Harvell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2607 Keiser Blvd Ste 100, Wyomissing, PA 19610 Phone: 610-743-3139 Fax: 610-743-3143 | |
Mr. Todd Staub, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Ralph Michael Cincinnati, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Reed Ave, Suite 116, Wyomissing, PA 19610 Phone: 610-373-7743 Fax: 610-378-9337 | |
Jamie Evans, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833 | |
Jennifer Lynn Lancaster, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Berkshire Court, Wyomissing, PA 19610 Phone: 610-374-7400 |