Taryn Jane Deantonio, CRNP | |
246 S Main St, Hughesville, PA 17737-1614 | |
(570) 584-5144 | |
(570) 584-5416 |
Full Name | Taryn Jane Deantonio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 246 S Main St, Hughesville, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003375569 | NPI | - | NPPES |
789203 | Other | PA | MEDICARE |
1036187200001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN632596 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP020073 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Williamsport Regional Medical Center | Williamsport, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Practice Center Pc | 0244124212 | 280 |
Entity Name | Family Practice Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
Mailing Address | Practice Location Address |
---|---|
Taryn Jane Deantonio, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Taryn Jane Deantonio, CRNP 246 S Main St, Hughesville, PA 17737-1614 Ph: (570) 584-5144 |
Lindsay M Morningstar Moyer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 | |
Jennifer Marie Robb, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 | |
Rachael Lee Koch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 S Main St, Hughesville, PA 17737 Phone: 570-584-5144 Fax: 570-584-5416 |