Miss Lee Ann Josette Klocko, CRNP | |
14351 Kutztown Rd, Fleetwood, PA 19522-9273 | |
(610) 944-8800 | |
Not Available |
Full Name | Miss Lee Ann Josette Klocko |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14351 Kutztown Rd, Fleetwood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558712018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP016246 (Pennsylvania) | Primary |
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Schuylkill Health System Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
Mailing Address | Practice Location Address |
---|---|
Miss Lee Ann Josette Klocko, CRNP 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Miss Lee Ann Josette Klocko, CRNP 14351 Kutztown Rd, Fleetwood, PA 19522-9273 Ph: (610) 944-8800 |
Khyatiben B Patel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Nicole Lundy, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 | |
Jessica Momose, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Kirsten Debra Eisenhower, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 | |
Linda Breidigam, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14351 Kutztown Rd, Fleetwood, PA 19522 Phone: 610-944-8800 Fax: 610-944-8213 | |
Brittany Moore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 N Richmond St, Fleetwood, PA 19522 Phone: 610-944-0464 |