Tomislav Kucuk, CRNP | |
60 Glenmaura National Boulevard, Moosic, PA 18507 | |
(570) 808-7300 | |
Not Available |
Full Name | Tomislav Kucuk |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 60 Glenmaura National Boulevard, Moosic, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215611751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP026711 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Tomislav Kucuk, CRNP 19 Woodcrest Ave, Mountain Top, PA 18707-1129 Ph: (570) 239-4526 | Tomislav Kucuk, CRNP 60 Glenmaura National Boulevard, Moosic, PA 18507 Ph: (570) 808-7300 |
Marie T Zedalis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Amanda Leigh Craven, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 | |
Jessica M Sabato, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Lula Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Mrs. Teresa M Clark, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Amber Michele Parker, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 |