Mrs Sandra Walker, | |
1 Hospital Dr, Lewisburg, PA 17837-9350 | |
(570) 522-2499 | |
(570) 768-3911 |
Full Name | Mrs Sandra Walker |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Hospital Dr, Lewisburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134114721 | NPI | - | NPPES |
001904255 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN188878L (Pennsylvania) | Primary |
Entity Name | Evangelical Medical Services Organization |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra Walker, 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-2499 | Mrs Sandra Walker, 1 Hospital Dr, Lewisburg, PA 17837-9350 Ph: (570) 522-2499 |
Mrs. Rosemary S Berg, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Mr. Gerald John Briskey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Elizabeth Bzdil Mahoney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Drive, Lewisburg, PA 17837 Phone: 570-522-2928 Fax: 570-522-4171 | |
Ms. Loretta C. Derrick, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Jpm Rd, Lewisburg, PA 17837 Phone: 570-524-6700 Fax: 570-524-6710 | |
Raymond John Tomaszewski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Lewisburg, PA 17837 Phone: 570-522-4144 Fax: 570-768-3911 | |
Mr. John F Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 210 Jpm Rd, Lewisburg, PA 17837 Phone: 570-524-6700 Fax: 570-524-6710 |