Lindsay Marie Bukowski, CRNP | |
315 S Main St, Old Forge, PA 18518-1790 | |
(570) 457-8364 | |
Not Available |
Full Name | Lindsay Marie Bukowski |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 315 S Main St, Old Forge, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578063335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP018507 (Pennsylvania) | Primary |
Entity Name | Scranton Quincy Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
Mailing Address | Practice Location Address |
---|---|
Lindsay Marie Bukowski, CRNP 406 Boulevard Ave, Dickson City, PA 18519-1729 Ph: (570) 877-4846 | Lindsay Marie Bukowski, CRNP 315 S Main St, Old Forge, PA 18518-1790 Ph: (570) 457-8364 |
Julie Washko, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 S Main St, Old Forge, PA 18518 Phone: 570-457-8364 | |
Anissa Salerno, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Foster St, Old Forge, PA 18518 Phone: 570-840-1289 | |
Mrs. Marilou Grant, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 Oak St, Old Forge, PA 18518 Phone: 570-457-7150 Fax: 570-457-8611 |