| Kaitlin Elizabeth O'sullivan, | |
|
10 Trieble Dr, Tunkhannock, PA 18657-7054 | |
| (570) 996-2700 | |
| Not Available |
| Full Name | Kaitlin Elizabeth O'sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 10 Trieble Dr, Tunkhannock, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255019162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | F06231623 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP028166 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Elizabeth O'sullivan, 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Kaitlin Elizabeth O'sullivan, 10 Trieble Dr, Tunkhannock, PA 18657-7054 Ph: (570) 996-2700 |
Charlea Natasha Pedro, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Trieble Dr, Tunkhannock, PA 18657 Phone: 570-996-2790 Fax: 570-996-2711 | |
Kristyn L Croasdale, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Trieble Dr, Tunkhannock, PA 18657 Phone: 570-996-2700 | |
Ms. Diane Eastman, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Rt. 6 Town Plaza, Suite 2, Tunkhannock, PA 18657 Phone: 570-836-4294 Fax: 570-836-7709 | |
Courtney Shingler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5950 Sr 6, Tunkhannock, PA 18657 Phone: 570-836-4294 | |
Ms. Ann E. Feeney, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Trieble Rd, Tunkhannock, PA 18657 Phone: 570-996-2700 Fax: 570-996-2711 | |
Shayna Bevan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Trieble Dr, Tunkhannock, PA 18657 Phone: 570-996-2700 |