Kellie J Krzos, | |
181 Interstate Pkwy, Bradford, PA 16701-1041 | |
(262) 581-4362 | |
Not Available |
Full Name | Kellie J Krzos |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 181 Interstate Pkwy, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548900897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 310716 (New York) | Primary |
Entity Name | Bradford Regional Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144273814 PECOS PAC ID: 8921998535 Enrollment ID: O20190402001195 |
Mailing Address | Practice Location Address |
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Kellie J Krzos, 181 Interstate Pkwy, Bradford, PA 16701-1041 Ph: (814) 362-2625 | Kellie J Krzos, 181 Interstate Pkwy, Bradford, PA 16701-1041 Ph: (262) 581-4362 |
Darlene G Venezia Skaggs, MSN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-363-2716 Fax: 814-363-2713 | |
Karen Marie Kline, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6536 Fax: 814-817-2113 | |
Andrew Davidson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 214-368-9600 | |
Mrs. Tammy Michelle Haley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 1/2 Mechanic Street, Bradford, PA 16701 Phone: 814-368-6129 Fax: 814-368-6174 | |
Michael Brewer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
Ms. Karen Mcclain, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy Ste 41, Bradford, PA 16701 Phone: 814-368-4143 | |
Mr. Jacob Burnell Penhollow, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8274 |