Mathaus Q Trager, CRNP | |
700 High St, Williamsport, PA 17701-3198 | |
(570) 321-2800 | |
(570) 321-3351 |
Full Name | Mathaus Q Trager |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 700 High St, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316178791 | NPI | - | NPPES |
2641113 | Other | PA | HIGHMARK BLUE SHIELD |
0749359 | Other | CIGNA | |
1026559160001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP010378 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | 26NJ00543300 (New Jersey) | Primary |
Entity Name | Atlanticare Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Entity Name | Atlantic Emergency Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112768 PECOS PAC ID: 1153354170 Enrollment ID: O20050912000320 |
Mailing Address | Practice Location Address |
---|---|
Mathaus Q Trager, CRNP 1201 Grampian Blvd, Suite 1k, Williamsport, PA 17701-1900 Ph: () - | Mathaus Q Trager, CRNP 700 High St, Williamsport, PA 17701-3198 Ph: (570) 321-2800 |
Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821 | |
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421 | |
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811 | |
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800 | |
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 | |
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165 |