Kathleen Miller Brandenburg, | |
601 E Portersville Rd, Portersville, PA 16051-2119 | |
(724) 601-3474 | |
Not Available |
Full Name | Kathleen Miller Brandenburg |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 601 E Portersville Rd, Portersville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437179702 | NPI | - | NPPES |
SP007684 | Other | PA | LICENSE |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | SP007684 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | 5012514 (North Carolina) | Primary |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20230922002631 |
Mailing Address | Practice Location Address |
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Kathleen Miller Brandenburg, 6388 Mazelle Trl Sw, Ocean Isle Beach, NC 28469-5777 Ph: (910) 520-5127 | Kathleen Miller Brandenburg, 601 E Portersville Rd, Portersville, PA 16051-2119 Ph: (724) 601-3474 |
Cory R Wilhite, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Adams Ln, Portersville, PA 16051 Phone: 724-368-4118 | |
Mrs. Rhiannon Mae Hill, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Adams Ln, Portersville, PA 16051 Phone: 724-368-4118 Fax: 724-368-4117 | |
Mr. Louis Joseph Pickel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 548 Young Rd, Portersville, PA 16051 Phone: 724-714-2388 |