Mrs Jennifer Anne Erickson, NP | |
7602 Central Ave, Suite 101, Philadelphia, PA 19111-2443 | |
(215) 969-2900 | |
(215) 969-1856 |
Full Name | Mrs Jennifer Anne Erickson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 7602 Central Ave, 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 |
---|---|---|---|
1992856413 | NPI | - | NPPES |
SM1374026 | Other | PA | PENNSYLVANIA BLUESHIELD |
500025007 | Other | PA | RAILROAD MEDICARE # |
07791408 | Other | PA | PROVIDER TYPE 57 ID NUMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | SP007259 (Pennsylvania) | Primary |
Entity Name | Temple Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Anne Erickson, NP 2450 W Hunting Park Ave, 2nd Floor, Philadelphia, PA 19129-1302 Ph: (215) 926-9022 | Mrs Jennifer Anne Erickson, NP 7602 Central Ave, Suite 101, Philadelphia, PA 19111-2443 Ph: (215) 969-2900 |
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 |