Susan Kellogg Spadt, CRNP | |
919 Conestoga Rd, Building 1, Suite 300, Bryn Mawr, PA 19010-1352 | |
(610) 656-6580 | |
(610) 525-3664 |
Full Name | Susan Kellogg Spadt |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 919 Conestoga Rd, Bryn Mawr, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578801841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | TP0001893G (Pennsylvania) | Primary |
363LW0102X | Nurse Practitioner - Women's Health | TP001893G (Pennsylvania) | Secondary |
Entity Name | Centers For Advanced Urology, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811351083 PECOS PAC ID: 3274800941 Enrollment ID: O20170531000529 |
Mailing Address | Practice Location Address |
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Susan Kellogg Spadt, CRNP 919 Conestoga Rd, Building 1, Suite 300, Bryn Mawr, PA 19010-1352 Ph: (610) 656-6580 | Susan Kellogg Spadt, CRNP 919 Conestoga Rd, Building 1, Suite 300, Bryn Mawr, PA 19010-1352 Ph: (610) 656-6580 |
Mrs. Jodi Lynn Kanzinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Suite H321, Bryn Mawr, PA 19010 Phone: 484-337-4097 Fax: 484-337-4086 | |
Harriet Marie Mccarney, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 E Lancaster Ave, Bryn Mawr, PA 19010 Phone: 610-525-3225 Fax: 610-525-4932 | |
Jenna Walck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Stephanie Nicole Libes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 215-662-3743 Fax: 215-349-5895 | |
Ms. Meghan R. Skakun, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr Hospital, Bryn Mawr, PA 19010 Phone: 484-337-4618 Fax: 484-337-4661 | |
Awilda Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Old Lancaster Rd Ste 206, Bryn Mawr, PA 19010 Phone: 484-380-3094 | |
Rachel Melissa Goldstein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 918 County Line Rd, Bryn Mawr, PA 19010 Phone: 610-525-6086 |