Tara I Burgon, CRNP | |
3065 Windsor Rd, Red Lion, PA 17356-8533 | |
(717) 851-1700 | |
(717) 851-1710 |
Full Name | Tara I Burgon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3065 Windsor Rd, Red Lion, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962787416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP0011638 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP011638 (Pennsylvania) | Primary |
Entity Name | Tower Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
Mailing Address | Practice Location Address |
---|---|
Tara I Burgon, CRNP 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-1700 | Tara I Burgon, CRNP 3065 Windsor Rd, Red Lion, PA 17356-8533 Ph: (717) 851-1700 |
Jamie Ann Lilie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Travis C Willow, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3141 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-246-5180 | |
Katie N Kandrysawtz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1750 Fax: 717-851-1760 | |
Jacqueline Anderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3193 Cape Horn Rd, Red Lion, PA 17356 Phone: 717-812-5888 Fax: 717-741-3709 | |
Kelly M Aguirre, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3065 Windsor Rd, Red Lion, PA 17356 Phone: 717-851-1700 Fax: 717-715-1302 |