Michelle Lynn Boniscavage, | |
2650 Westview Dr. #h, Wyomissing, PA 19610-1187 | |
(610) 750-9426 | |
(484) 282-7430 |
Full Name | Michelle Lynn Boniscavage |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2650 Westview Dr. #h, Wyomissing, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427786581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP026034 (Pennsylvania) | Primary |
Entity Name | Dermdox Dermatology Centers Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245693936 PECOS PAC ID: 6406154756 Enrollment ID: O20160420000127 |
Mailing Address | Practice Location Address |
---|---|
Michelle Lynn Boniscavage, 8 Brookhill Square South, Sugarloaf, PA 18249-1010 Ph: (570) 459-0029 | Michelle Lynn Boniscavage, 2650 Westview Dr. #h, Wyomissing, PA 19610-1187 Ph: (610) 750-9426 |
Susan L O'brien, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Jennifer Lynn Burnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610 Phone: 484-628-5673 Fax: 484-628-3139 | |
Janina Harvell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2607 Keiser Blvd Ste 100, Wyomissing, PA 19610 Phone: 610-743-3139 Fax: 610-743-3143 | |
Mr. Todd Staub, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Ralph Michael Cincinnati, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 Reed Ave, Suite 116, Wyomissing, PA 19610 Phone: 610-373-7743 Fax: 610-378-9337 | |
Jamie Evans, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833 | |
Jennifer Lynn Lancaster, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Berkshire Court, Wyomissing, PA 19610 Phone: 610-374-7400 |