Ms Dianne C Hickok, CRNP - Nurse Practitioner in Tannersville, PA

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Ms Dianne C Hickok, CRNP is a Nurse Practitioner based in Tannersville, Pennsylvania. Ms Dianne C Hickok is licensed to practice in Pennsylvania (license number SP004553A) and her current practice location is Rt 611, Tannersville Plaza, Tannersville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 619-5142.

NPI number for Ms Dianne C Hickok is 1679770424 and her current mailing address is 100 N Academy Ave, Danville, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679770424.

Contact Information

Ms Dianne C Hickok, CRNP
Rt 611, Tannersville Plaza,
Tannersville, PA 18372
(570) 619-5142
(570) 619-0127

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Provider's Profile

Full NameMs Dianne C Hickok
GenderFemale
SpecialityNurse Practitioner
LocationRt 611, Tannersville, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679770424
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Dianne C Hickok such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679770424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP004553A (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Dianne C Hickok is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Dianne C Hickok, CRNP
100 N Academy Ave,
Danville, PA 17822-3034

Ph: (570) 271-6144		Ms Dianne C Hickok, CRNP
Rt 611, Tannersville Plaza,
Tannersville, PA 18372

Ph: (570) 619-5142

Reviews and Comments


Nurse Practitioner Nurses in Tannersville, PA


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