Mrs Elizabeth Kang, | |
100 N Academy Ave, Danville, PA 17822-9800 | |
(570) 271-6211 | |
Not Available |
Full Name | Mrs Elizabeth Kang |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396503504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR18324800 (New Jersey) | Primary |
Entity Name | Fpa Hospital Based |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Kang, 12 Woodmere Rd, North Brunswick, NJ 08902-1017 Ph: (732) 997-5693 | Mrs Elizabeth Kang, 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6211 |
Roslyn Marie Feaster, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Nissa Ann Freeze, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 507 E Market St, Danville, PA 17821 Phone: 157-027-5496 | |
Michael Seldomridge, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Julie L. Kleinbauer, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6396 Fax: 570-271-5840 | |
Ms. Joanne Rogers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Mary Lynn M. Moore, CRNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 | |
Brian A Supsic, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6621 Fax: 570-271-6762 |