Tetyana Demkovych, CRNP | |
2729 Henry Ave, Willow Grove, PA 19090-3020 | |
(267) 255-4838 | |
Not Available |
Full Name | Tetyana Demkovych |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2729 Henry Ave, Willow Grove, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659812675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP017058 (Pennsylvania) | Primary |
Entity Name | Temple Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
Entity Name | Rediclinic Of Pa, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649672874 PECOS PAC ID: 1456653237 Enrollment ID: O20160111002414 |
Mailing Address | Practice Location Address |
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Tetyana Demkovych, CRNP 2729 Henry Ave, Willow Grove, PA 19090-3020 Ph: (267) 255-4838 | Tetyana Demkovych, CRNP 2729 Henry Ave, Willow Grove, PA 19090-3020 Ph: (267) 255-4838 |
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Dorothy L Rhoads, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd, Suite E 25, Willow Grove, PA 19090 Phone: 215-366-1160 Fax: 215-366-1141 | |
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