Ms Mary Sue Capella, FNP-C | |
1152 Wood Street, California, PA 15419-1260 | |
(724) 938-2122 | |
(724) 938-7853 |
Full Name | Ms Mary Sue Capella |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1152 Wood Street, California, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275249005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP025111 (Pennsylvania) | Primary |
Entity Name | Centerville Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Sue Capella, FNP-C 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Ms Mary Sue Capella, FNP-C 1152 Wood Street, California, PA 15419-1260 Ph: (724) 938-2122 |
Frances Fayish, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 University Ave, California, PA 15419 Phone: 724-938-5922 Fax: 724-938-4509 | |
Beth Theis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 3rd St, California, PA 15419 Phone: 724-938-7466 Fax: 724-938-7470 | |
Erika Rae Robaugh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1152 Wood St, California, PA 15419 Phone: 724-938-2122 | |
Destiny Ray, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1153 Wood Street, California, PA 15419 Phone: 724-223-1067 |