Tara Lucas, RN | |
321 Main St Ste 4f, Johnstown, PA 15901-1632 | |
(814) 254-4905 | |
Not Available |
Full Name | Tara Lucas |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 321 Main St Ste 4f, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386153526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN646306 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP029579 (Pennsylvania) | Primary |
Entity Name | Nulton Diagnostic &treatment Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 |
Mailing Address | Practice Location Address |
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Tara Lucas, RN 2525 Fieldstone Ave, Summerhill, PA 15958-4106 Ph: () - | Tara Lucas, RN 321 Main St Ste 4f, Johnstown, PA 15901-1632 Ph: (814) 254-4905 |
Pamela Geary, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1015 Franklin St, Wessel Building Level D, Johnstown, PA 15905 Phone: 814-534-5042 Fax: 814-534-5045 | |
Patrice Janice Wilson, FNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Fl 7, Johnstown, PA 15905 Phone: 678-593-9020 | |
Lisa Devineni, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Locust St, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-6750 Fax: 814-534-6760 | |
Mrs. Kimberly R. Wisniewski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 Main St, Suite 5 G, Johnstown, PA 15901 Phone: 814-535-7721 Fax: 814-535-2105 | |
Michele Marie Swanhart, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 817 Franklin St, Johnstown, PA 15901 Phone: 814-539-7507 Fax: 814-535-5547 | |
Brittany Louise Walker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Scalp Ave Ste 2100, Johnstown, PA 15904 Phone: 814-269-5211 | |
Lori Beth Claycomb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1415 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-615-2014 |