Miss Kathryn Susan Maceyko, CRNP | |
150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 | |
(855) 478-8208 | |
Not Available |
Full Name | Miss Kathryn Susan Maceyko |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 150 Monument Rd Ste 500, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760856736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP015487 (Pennsylvania) | Primary |
163W00000X | Registered Nurse | RN662358 (Pennsylvania) | Secondary |
Entity Name | Patina Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801568910 PECOS PAC ID: 2567828460 Enrollment ID: O20230518003521 |
Mailing Address | Practice Location Address |
---|---|
Miss Kathryn Susan Maceyko, CRNP 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 Ph: (855) 478-8208 | Miss Kathryn Susan Maceyko, CRNP 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 Ph: (855) 478-8208 |
Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199 | |
Mrs. Diyong S Graham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004 Phone: 610-753-1271 | |
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481 | |
Katharine Grace Burke, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd, Bala Cynwyd, PA 19004 Phone: 610-747-3400 | |
Sandra Adams Ohaire, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd, Suite 300, Bala Cynwyd, PA 19004 Phone: 610-617-2400 |