Sara Elizabeth Jackson, CRNP | |
1800 N 12th St, Reading, PA 19604-3347 | |
(610) 816-5728 | |
(610) 816-5710 |
Full Name | Sara Elizabeth Jackson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1800 N 12th St, Reading, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720716475 | NPI | - | NPPES |
MEDICARE | Other | PA | 2L6567 |
104140610-0002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025637 (Pennsylvania) | Primary |
Entity Name | Berkshire Psychiatric & Behavioral Health Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164441382 PECOS PAC ID: 3779563135 Enrollment ID: O20040726000103 |
Entity Name | Haven Behavioral Services Of Reading Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629384292 PECOS PAC ID: 4183810807 Enrollment ID: O20101120000000 |
Mailing Address | Practice Location Address |
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Sara Elizabeth Jackson, CRNP 1929 Lincoln Hwy E, Lancaster, PA 17602-3347 Ph: (762) 571-7397 | Sara Elizabeth Jackson, CRNP 1800 N 12th St, Reading, PA 19604-3347 Ph: (610) 816-5728 |
Mr. Timothy A Carlson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2234 Perkiomen Ave, Reading, PA 19606 Phone: 610-370-2511 Fax: 610-370-9348 | |
Kyle Rompala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 S 5th Ave, Reading, PA 19611 Phone: 267-280-7615 | |
Donna Connor, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: S. 6th Ave, Reading, PA 19611 Phone: 484-628-8249 | |
Jessica Agnes Conner, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 Rockland St, Reading, PA 19604 Phone: 610-988-4838 | |
Ms. Catherine M. James, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 High St, Reading, PA 19606 Phone: 610-507-0352 | |
Mrs. Michelle Lynn Reed, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-378-2000 | |
Stacey Hewitt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2144 Queens Ct, Reading, PA 19606 Phone: 610-823-7780 |