Renee M Fedorchak, is a
Nurse Practitioner - Family based in Shickshinny, Pennsylvania. Renee M Fedorchak is licensed to practice in Pennsylvania (license number SP019638) and her current practice location is
890 Bethel Hill Rd, Shickshinny, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 991-6256.
NPI number for Renee M Fedorchak is 1831659556 and her current mailing address is 3651 Chase Rd, Shavertown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831659556.
Provider's Profile
Full Name | Renee M Fedorchak |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 890 Bethel Hill Rd, Shickshinny, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831659556
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 03/20/2019
Medical Identifiers
Medical identifiers for Renee M Fedorchak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831659556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP019638 (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. Renee M Fedorchak 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 Address | Practice Location Address |
Renee M Fedorchak, 3651 Chase Rd, Shavertown, PA 18708-9737 Ph: (570) 704-9695 | Renee M Fedorchak, 890 Bethel Hill Rd, Shickshinny, PA 18655-3706 Ph: (570) 991-6256 |
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