Mrs Tracy Whitman, CPNP | |
700 Quincy Ave, Scranton, PA 18510-1724 | |
(866) 519-0457 | |
(570) 770-5263 |
Full Name | Mrs Tracy Whitman |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 700 Quincy Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437715281 | NPI | - | NPPES |
1036780850001 | Medicaid | PA | |
1036780850002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | SP019789 (Pennsylvania) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | SP019920 (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Scranton Quincy Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracy Whitman, CPNP 5 Alpha Ct, Scranton, PA 18508-1603 Ph: (570) 840-1365 | Mrs Tracy Whitman, CPNP 700 Quincy Ave, Scranton, PA 18510-1724 Ph: (866) 519-0457 |
Kelly Babinski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 W Olive St, Scranton, PA 18508 Phone: 570-558-2140 Fax: 570-558-2141 | |
Chelsea Lynn Erie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-4954 Fax: 570-703-4579 | |
Jordyn D Noullet, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8231 Fax: 570-703-8250 | |
Michelle M Mack, DNP, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-0161 Fax: 570-969-0163 | |
Casey Jeanne Hughes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-470-2591 | |
Emily Yestrepsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000 | |
Judith Emily Rogers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7100 |