Ms Bonnie Sue Rodgers, CRNP | |
300 Penn Lincoln Dr, Imperial, PA 15126-9772 | |
(724) 773-3002 | |
Not Available |
Full Name | Ms Bonnie Sue Rodgers |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 300 Penn Lincoln Dr, Imperial, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023095981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | TP005113B (Pennsylvania) | Primary |
Entity Name | Valley Medical Facilities, Inc. |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1588770416 PECOS PAC ID: 8325956592 Enrollment ID: O20031204000290 |
Entity Name | University Of Pittsburgh Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Mailing Address | Practice Location Address |
---|---|
Ms Bonnie Sue Rodgers, CRNP 1740 Borland Rd, Pittsburgh, PA 15243-1524 Ph: (412) 429-7210 | Ms Bonnie Sue Rodgers, CRNP 300 Penn Lincoln Dr, Imperial, PA 15126-9772 Ph: (724) 773-3002 |
Eseose Okpamen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Craig St, Imperial, PA 15126 Phone: 832-475-5170 | |
Meghan Rosen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 508 Walden Way, Imperial, PA 15126 Phone: 570-259-5913 |