Wendy Burkhardt, CRNP | |
512 Dekalb St, Bridgeport, PA 19405-1134 | |
(610) 787-8000 | |
Not Available |
Full Name | Wendy Burkhardt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 512 Dekalb St, Bridgeport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376249961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP027048 (Pennsylvania) | Primary |
Entity Name | Novus Adult Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679931349 PECOS PAC ID: 2961706924 Enrollment ID: O20160211001415 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
Entity Name | Angelic Health Of Pa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558934141 PECOS PAC ID: 2163846155 Enrollment ID: O20211230000320 |
Entity Name | Angelic Health Practice Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134990708 PECOS PAC ID: 9537510938 Enrollment ID: O20240214004082 |
Mailing Address | Practice Location Address |
---|---|
Wendy Burkhardt, CRNP 13 Tice Ln, Perkasie, PA 18944-2425 Ph: (215) 778-2557 | Wendy Burkhardt, CRNP 512 Dekalb St, Bridgeport, PA 19405-1134 Ph: (610) 787-8000 |
Mr. Michael J Lopez, CRNP (FAMILY HEALTH) Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 512 Dekalb St, Bridgeport, PA 19405 Phone: 610-787-8000 Fax: 610-270-2834 |