Mrs Tracy Lee Pacitti, NURSE PRACTITIONER | |
280 Middletown Blvd, Langhorne, PA 19047-1816 | |
(267) 572-3100 | |
Not Available |
Full Name | Mrs Tracy Lee Pacitti |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 280 Middletown Blvd, Langhorne, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407076789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01020300 (New Jersey) | Primary |
163WR0006X | Registered Nurse - Registered Nurse First Assistant | RN349942L (Pennsylvania) | Secondary |
Entity Name | Kennedy Medical Group Practice, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
Mailing Address | Practice Location Address |
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Mrs Tracy Lee Pacitti, NURSE PRACTITIONER 400 Stanford Rd, Fairless Hills, PA 19030-4010 Ph: (215) 949-9529 | Mrs Tracy Lee Pacitti, NURSE PRACTITIONER 280 Middletown Blvd, Langhorne, PA 19047-1816 Ph: (267) 572-3100 |
Ms. Christine Louise Hooper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Middletown Blvd, Suite 200, Langhorne, PA 19047 Phone: 215-757-5772 Fax: 215-757-5494 | |
Ms. Susan Ellen Ritorto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 Woodbourne Rd, Langhorne, PA 19047 Phone: 215-757-6611 Fax: 215-946-1408 | |
Ambily Pailo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Langhorne Newtown Rd, Suite 309, Langhorne, PA 19047 Phone: 215-741-1963 | |
Melanie North, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Langhorne Newtown Rd Ste 309, Langhorne, PA 19047 Phone: 215-741-1963 Fax: 215-741-1914 | |
Jane Tantum, R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1703 Langhorne Newtown Rd, Suite 1, Langhorne, PA 19047 Phone: 215-968-3655 Fax: 215-968-4830 | |
Ann Marie Gonzalez, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 Middletown Blvd Ste 700, Langhorne, PA 19047 Phone: 215-752-8860 | |
Kristen Ayrer, CRNP- AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 174 Middletown Blvd Ste 304, Langhorne, PA 19047 Phone: 215-757-2359 Fax: 215-478-8026 |