Mary Jane Smalley, CPNP | |
1645 West 8th Street, Shriners Hospitals For Children Erie, Erie, PA 16505-5097 | |
(800) 873-5437 | |
(814) 875-8796 |
Full Name | Mary Jane Smalley |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1645 West 8th Street, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063661940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 382009 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | SP009524 (Pennsylvania) | Primary |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982971503 PECOS PAC ID: 9133031933 Enrollment ID: O20121012000051 |
Mailing Address | Practice Location Address |
---|---|
Mary Jane Smalley, CPNP P O Box 8500, Shriners Hospitals For Children Lockbox #7642, Philadelphia, PA 19178-7642 Ph: (813) 281-8478 | Mary Jane Smalley, CPNP 1645 West 8th Street, Shriners Hospitals For Children Erie, Erie, PA 16505-5097 Ph: (800) 873-5437 |
Tatyana Kryachkov, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3250 W Lake Rd., Suite 2, Erie, PA 16505 Phone: 814-790-4567 Fax: 814-295-4074 | |
Jennifer Flo Norris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Westminster Blvd, Erie, PA 16506 Phone: 814-440-2278 | |
Devon Singh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 | |
Lynn Gates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Nicole Friedl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 | |
Linda Kathleen Mentz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Pine Ave, Erie, PA 16504 Phone: 814-877-5800 Fax: 814-877-5809 | |
Mr. Kenneth Charles Agnew Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5037 Crystal Dr, Erie, PA 16505 Phone: 814-218-1850 |