Kathleen O Demutis, CRNP | |
255 W Lancaster Ave Ste 330, Paoli, PA 19301-1766 | |
(610) 786-3200 | |
(610) 786-3208 |
Full Name | Kathleen O Demutis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 255 W Lancaster Ave Ste 330, Paoli, 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 |
---|---|---|---|
1184638918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | VP004650C (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | VP004650C (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Paoli Hospital | Paoli, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
---|---|
Kathleen O Demutis, CRNP 255 W. Lancaster Ave, Suite 330, Paoli, PA 19301 Ph: (610) 786-3200 | Kathleen O Demutis, CRNP 255 W Lancaster Ave Ste 330, Paoli, PA 19301-1766 Ph: (610) 786-3200 |
Jamie L Dillinger, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd, Suite 101, Paoli, PA 19301 Phone: 610-251-0300 Fax: 610-251-0304 | |
Mrs. Lynn B Wolff, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1600 Fax: 610-647-2006 | |
Angela Foster, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 E Lancaster Ave, Paoli, PA 19301 Phone: 610-647-4366 | |
Elizabeth Wray, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 S Valley Rd Ste 101, Paoli, PA 19301 Phone: 267-553-5063 | |
Hayley Suzann Swanson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Industrial Blvd Ste 103, Paoli, PA 19301 Phone: 610-786-3200 | |
Holly Marks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1000 | |
Kelly N Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Industrial Blvd Ste 200, Paoli, PA 19301 Phone: 610-647-2400 Fax: 610-647-3902 |