Tiffany Lee Schreck, RN | |
3401 N Broad St, Philadelphia, PA 19140-5103 | |
(215) 707-5864 | |
Not Available |
Full Name | Tiffany Lee Schreck |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3401 N Broad St, Philadelphia, 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 |
---|---|---|---|
1265919302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | RN617238 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP020144 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Lee Schreck, RN 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: () - | Tiffany Lee Schreck, RN 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-5864 |
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