| Lily Indrawati, CRNP | |
|
746 Jefferson Ave, Scranton, PA 18510-1624 | |
| (570) 770-3000 | |
| Not Available |
| Full Name | Lily Indrawati |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 746 Jefferson Ave, Scranton, 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 |
|---|---|---|---|
| 1932865417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024210 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Inpatient Medicine Pc | 6406995778 | 37 |
| Entity Name | Advanced Inpatient Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
| Entity Name | Hospitalist Services At Moses Taylor, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497366207 PECOS PAC ID: 7911326509 Enrollment ID: O20201001000073 |
| Entity Name | Pennsylvania Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558126342 PECOS PAC ID: 3870035611 Enrollment ID: O20240607000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Indrawati, CRNP 746 Jefferson Ave, Scranton, PA 18510-1624 Ph: () - | Lily Indrawati, CRNP 746 Jefferson Ave, Scranton, PA 18510-1624 Ph: (570) 770-3000 |
Kelly Babinski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 W Olive St, Scranton, PA 18508 Phone: 570-558-2140 Fax: 570-558-2141 | |
Chelsea Lynn Erie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-4954 Fax: 570-703-4579 | |
Jordyn D Noullet, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8231 Fax: 570-703-8250 | |
Michelle M Mack, DNP, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-0161 Fax: 570-969-0163 | |
Casey Jeanne Hughes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-470-2591 | |
Emily Yestrepsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000 | |
Judith Emily Rogers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7100 |