Michaelea Patrice Bethge, CRNP | |
21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870-9148 | |
(570) 374-7852 | |
(570) 374-7932 |
Full Name | Michaelea Patrice Bethge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710523642 | NPI | - | NPPES |
1B7884 | Other | PA | MEDICARE |
1037677010001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN607371 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP021790 (Pennsylvania) | Primary |
Entity Name | Family Practice Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
Michaelea Patrice Bethge, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Michaelea Patrice Bethge, CRNP 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870-9148 Ph: (570) 374-7852 |
Amy Kyner, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 157 Roosevelt Ave, Selinsgrove, PA 17870 Phone: 570-884-3726 | |
Ms. Gloria H. Pedrick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 16th St, Selinsgrove, PA 17870 Phone: 570-374-0151 Fax: 570-374-0311 | |
Mariah Freeze, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 Roosevelt Ave, Selinsgrove, PA 17870 Phone: 570-884-3726 Fax: 570-884-3728 | |
Laura Olivia Hummel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Susquehanna Valley Mall Dr Ste 800, Selinsgrove, PA 17870 Phone: 570-884-7925 Fax: 570-374-0176 | |
Beth Gingrich Deckard, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870 Phone: 570-374-7852 Fax: 570-374-7932 | |
Ms. Ann Marie Metzger General, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 University Ave, Selinsgrove, PA 17870 Phone: 570-372-0536 Fax: 570-372-0539 | |
Ni Collins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Meadowview Dr, Selinsgrove, PA 17870 Phone: 717-398-7289 |