Tetiana Lyubovich, | |
824 Main St Ste 306, Phoenixville, PA 19460-4478 | |
(610) 983-1941 | |
Not Available |
Full Name | Tetiana Lyubovich |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 824 Main St Ste 306, Phoenixville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104416478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP022886 (Pennsylvania) | Secondary |
163W00000X | Registered Nurse | 688621 (Pennsylvania) | Primary |
Entity Name | Phoenixville Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891866182 PECOS PAC ID: 5799796850 Enrollment ID: O20060606000128 |
Mailing Address | Practice Location Address |
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Tetiana Lyubovich, Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-5455 | Tetiana Lyubovich, 824 Main St Ste 306, Phoenixville, PA 19460-4478 Ph: (610) 983-1941 |
Mrs. Marjorie N. Saring, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd, Suite 69, Phoenixville, PA 19460 Phone: 610-933-9483 Fax: 610-933-4080 | |
Ms. Justine Jankowski Cassidy, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 106 Hoffecker Rd, Phoenixville, PA 19460 Phone: 908-884-3855 | |
Lara Christine Jaber, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 414 South St, Phoenixville, PA 19460 Phone: 484-888-0421 | |
Katriana B Willis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd, Unit 69, Phoenixville, PA 19460 Phone: 610-933-9483 Fax: 610-933-4080 | |
Mrs. Carolyn Zimmerman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd Ste 69, Phoenixville, PA 19460 Phone: 610-933-9483 Fax: 610-933-4080 | |
Lisa A Brone, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd Unit 69, Phoenixville, PA 19460 Phone: 610-933-9483 Fax: 610-933-4080 | |
Janet Trevino, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1288 Valley Forge Rd, Unit 69, Phoenixville, PA 19460 Phone: 610-933-9483 Fax: 610-933-4080 |