Samantha Ouellet, | |
34 Fawn Dr, Quarryville, PA 17566-9741 | |
(717) 284-3137 | |
Not Available |
Full Name | Samantha Ouellet |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 34 Fawn Dr, Quarryville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225773260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP025619 (Pennsylvania) | Primary |
Entity Name | Lancaster General Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
Mailing Address | Practice Location Address |
---|---|
Samantha Ouellet, 34 Fawn Drive, Quarryville, PA 17566 Ph: (717) 284-3137 | Samantha Ouellet, 34 Fawn Dr, Quarryville, PA 17566-9741 Ph: (717) 284-3137 |
Mrs. Zania Bailey, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Chestnut St, Quarryville, PA 17566 Phone: 717-786-7383 | |
Ellie Zangari, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 W Chestnut St, Quarryville, PA 17566 Phone: 717-786-7383 | |
Mrs. Shirley Faye Herr, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 Fawn Dr, Quarryville, PA 17566 Phone: 717-283-3137 |