Michelle M Black, CRNP | |
120 Radnor Rd Ste 100, State College, PA 16801 | |
(814) 231-7868 | |
(814) 238-4169 |
Full Name | Michelle M Black |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 120 Radnor Rd Ste 100, State College, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083902316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP011489 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Nittany Medical Center | State college, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mount Nittany Medical Center Health Services Inc | 8426136797 | 204 |
Entity Name | Mount Nittany Medical Center Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164691499 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
Mailing Address | Practice Location Address |
---|---|
Michelle M Black, CRNP 120 Radnor Rd Ste 100, State College, PA 16801-7970 Ph: (814) 231-7868 | Michelle M Black, CRNP 120 Radnor Rd Ste 100, State College, PA 16801 Ph: (814) 231-7868 |
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Katy Nelson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980 | |
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492 | |
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954 | |
Jennifer Nicole Bailey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Elmore Research Wing, University Park, State College, PA 16802 Phone: 814-865-4302 Fax: 814-865-0351 |