Mrs Diane R Ezekoye, CRNP | |
1830 Good Hope Rd, Enola, PA 17025-1233 | |
(717) 732-8877 | |
(717) 732-9241 |
Full Name | Mrs Diane R Ezekoye |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1830 Good Hope Rd, Enola, 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 |
---|---|---|---|
1932505757 | NPI | - | NPPES |
103046285 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP014145 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Milton S Hershey Medical Center | Hershey, PA | Hospital |
Holy Spirit Hospital | Camp hill, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Health Cardiovascular Institute Inc | 6901087006 | 109 |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
Entity Name | Pinnacle Health Cardiovascular Institute Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952603342 PECOS PAC ID: 6901087006 Enrollment ID: O20110223000139 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane R Ezekoye, CRNP 409 S 2nd St Ste 2f, Harrisburg, PA 17104-1612 Ph: () - | Mrs Diane R Ezekoye, CRNP 1830 Good Hope Rd, Enola, PA 17025-1233 Ph: (717) 732-8877 |
Richard Keene, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 E Penn Dr., Enola, PA 17025 Phone: 717-857-2490 | |
Rachel Carmela Claroni, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-988-9015 Fax: 717-221-5410 | |
Samantha Blood, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-988-9015 Fax: 717-221-5410 | |
Ashley Miller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4510 Marketplace Way, Enola, PA 17025 Phone: 717-547-6108 Fax: 717-547-6189 | |
Mary E Dixon, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-652-9555 Fax: 717-791-2621 | |
Lynn Ann Gerlach, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1824 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 | |
Mr. Todd John Leonard Lesko, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1830 Good Hope Rd, Enola, PA 17025 Phone: 717-732-8877 Fax: 717-732-9241 |