Mrs Brenda Kauffman Kozak, CRNP | |
2605 Keiser Blvd, Wyomissing, PA 19610 | |
(610) 685-8500 | |
(610) 685-4833 |
Full Name | Mrs Brenda Kauffman Kozak |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 2605 Keiser Blvd, Wyomissing, 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 |
---|---|---|---|
1477508075 | NPI | - | NPPES |
101599590 0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP009049 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Medical Center | Reading, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Penn State Health Community Medical Group Llc | 8729351077 | 657 |
Entity Name | Penn State Health Community Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Kauffman Kozak, CRNP 2605 Keiser Blvd, Wyomissing, PA 19610 Ph: (610) 685-8500 | Mrs Brenda Kauffman Kozak, CRNP 2605 Keiser Blvd, Wyomissing, PA 19610 Ph: (610) 685-8500 |
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 |