Mrs Jeanine D Bucek, CRNP | |
550 North Progress Avenue, Harrisburg, PA 17109 | |
(866) 389-2727 | |
Not Available |
Full Name | Mrs Jeanine D Bucek |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 550 North Progress Avenue, Harrisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841575206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP011619 (Pennsylvania) | Primary |
Entity Name | Alegis Care - Pennsylvania Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548511017 PECOS PAC ID: 8921231820 Enrollment ID: O20140430000373 |
Entity Name | Monogram Health Professional Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220808002650 |
Entity Name | Evernorth Care Providers - Delaware Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457138182 PECOS PAC ID: 6002217973 Enrollment ID: O20231211002305 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jeanine D Bucek, CRNP 1 Cvs Drive, Woonsocket, RI 02895 Ph: (866) 389-2727 | Mrs Jeanine D Bucek, CRNP 550 North Progress Avenue, Harrisburg, PA 17109 Ph: (866) 389-2727 |
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