Michael Desantis, CRNP | |
1202 State St, Erie, PA 16501-1914 | |
(814) 454-4530 | |
Not Available |
Full Name | Michael Desantis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1202 State St, Erie, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023593159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP019328 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of Erie | Erie, PA | Home health agency |
Upmc Home Healthcare | Erie, PA | Home health agency |
Saint Vincent Hospital | Erie, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Keystone Rehabilitation Systems Inc | 7012826753 | 533 |
Entity Name | Community Health Net |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245209170 PECOS PAC ID: 1759290588 Enrollment ID: O20031222000617 |
Mailing Address | Practice Location Address |
---|---|
Michael Desantis, CRNP 1202 State St, Erie, PA 16501-1914 Ph: () - | Michael Desantis, CRNP 1202 State St, Erie, PA 16501-1914 Ph: (814) 454-4530 |
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 |