Lorileen C Bautista, | |
2701 Blair Mill Rd, Willow Grove, PA 19090-1041 | |
(856) 751-7880 | |
Not Available |
Full Name | Lorileen C Bautista |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2701 Blair Mill Rd, Willow Grove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942536909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | VP005422D (Pennsylvania) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
Mailing Address | Practice Location Address |
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Lorileen C Bautista, 200 Bowman Dr, Ste E360, Voorhees, NJ 08043-9623 Ph: (856) 751-7880 | Lorileen C Bautista, 2701 Blair Mill Rd, Willow Grove, PA 19090-1041 Ph: (856) 751-7880 |
Mrs. Michelle Anderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 735 Fitzwatertown Rd, #a, Willow Grove, PA 19090 Phone: 215-657-2012 | |
Ms. Katherine Kilchmann Baltazar, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Easton Rd Bldg C-104, Willow Grove, PA 19090 Phone: 267-979-9524 | |
Sarah Augusta Daniels, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3941 Commerce Ave, Willow Grove, PA 19090 Phone: 215-481-4000 | |
Dr. Donna Lee Patterson, PHD CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Blair Mill Rd, Suite 10, Willow Grove, PA 19090 Phone: 215-675-1234 | |
Donna Clare Townsend, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1944 Lukens Ave, Willow Grove, PA 19090 Phone: 215-657-3966 | |
Dorothy L Rhoads, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd, Suite E 25, Willow Grove, PA 19090 Phone: 215-366-1160 Fax: 215-366-1141 | |
Jessica Macconchie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1724 Crestview Ave, Willow Grove, PA 19090 Phone: 732-575-0985 |