Tatyana Simutkin, CRNP | |
640 E Oregon Rd, Lititz, PA 17543-9202 | |
(717) 569-8773 | |
Not Available |
Full Name | Tatyana Simutkin |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 640 E Oregon Rd, Lititz, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356875884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP017424 (Pennsylvania) | Primary |
Entity Name | Pinnacle Health Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180 |
Entity Name | Dermatology Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766424 PECOS PAC ID: 4082651765 Enrollment ID: O20050414000036 |
Mailing Address | Practice Location Address |
---|---|
Tatyana Simutkin, CRNP 2775 Division Hwy, New Holland, PA 17557-9651 Ph: (717) 799-8398 | Tatyana Simutkin, CRNP 640 E Oregon Rd, Lititz, PA 17543-9202 Ph: (717) 569-8773 |
Ahna D Fulmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-988-0000 Fax: 717-782-5716 | |
Leah Michelle Ortiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 E Oregon Rd, Lititz, PA 17543 Phone: 717-569-8773 Fax: 717-569-8187 | |
Nicole Shaffer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 | |
Megan E Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Airport Rd, Lititz, PA 17543 Phone: 717-466-2445 Fax: 717-466-2447 | |
Jonathan D Hostetter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 | |
Marjorie A. Torchia, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 Highlands Dr, Lititz, PA 17543 Phone: 717-627-4088 | |
Bethany G Brown, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 Fax: 717-627-2434 |