Mrs Alicia Rose Haegele, MSN, CRNP | |
Medical Arts Building, 3801 Market Street, Suite 111, Philadelphia, PA 19104-3153 | |
(215) 662-9563 | |
(215) 243-4604 |
Full Name | Mrs Alicia Rose Haegele |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Medical Arts Building, 3801 Market Street, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811265150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP010873 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP014816 (Pennsylvania) | Primary |
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
Mailing Address | Practice Location Address |
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Mrs Alicia Rose Haegele, MSN, CRNP Medical Arts Building, 3801 Market Street, Suite 111, Philadelphia, PA 19104-3153 Ph: (215) 662-9563 | Mrs Alicia Rose Haegele, MSN, CRNP Medical Arts Building, 3801 Market Street, Suite 111, Philadelphia, PA 19104-3153 Ph: (215) 662-9563 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 | |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 | |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 | |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 | |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 | |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 | |
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |