Timothy Ray Peace Jr, MSN, CRNP, FNP-C | |
422 Merchant St, Ambridge, PA 15003-2405 | |
(724) 318-8793 | |
(724) 385-0278 |
Full Name | Timothy Ray Peace Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 422 Merchant St, Ambridge, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245843184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP022406 (Pennsylvania) | Primary |
Entity Name | Five Star Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144755000 PECOS PAC ID: 0244508786 Enrollment ID: O20170624000233 |
Entity Name | Beaver County Pathways Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184071193 PECOS PAC ID: 9537404413 Enrollment ID: O20181220002648 |
Mailing Address | Practice Location Address |
---|---|
Timothy Ray Peace Jr, MSN, CRNP, FNP-C 6 Leet St, Sewickley, PA 15143-8736 Ph: (724) 681-9729 | Timothy Ray Peace Jr, MSN, CRNP, FNP-C 422 Merchant St, Ambridge, PA 15003-2405 Ph: (724) 318-8793 |
Daniel V Rutkowski, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1098 Kennedy Dr, Ambridge, PA 15003 Phone: 724-385-0588 Fax: 724-385-0741 | |
Dr. Michael Aron Dixon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 Kennedy Dr, Ambridge, PA 15003 Phone: 724-385-0588 | |
Bethany Noelle Porter, PMHNP-DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Beaver St, Ambridge, PA 15003 Phone: 412-347-1978 | |
Elizabeth Mcgee Klixbull, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 Kennedy Dr, Ambridge, PA 15003 Phone: 724-385-0588 |