Jaclyn Miller, | |
801 Ostrum St, Bethlehem, PA 18015-1000 | |
(610) 954-5810 | |
Not Available |
Full Name | Jaclyn Miller |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 801 Ostrum St, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316328115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | RN575481 (Pennsylvania) | Primary |
Entity Name | Anesthesia Specialists Of Bethlehem Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851349302 PECOS PAC ID: 1355254533 Enrollment ID: O20031112000676 |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
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Jaclyn Miller, 1930 W Broadway St, Ste A, Missoula, MT 59808-1960 Ph: (406) 541-6844 | Jaclyn Miller, 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (610) 954-5810 |
Dr. Amy Lynn Morrissey, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 | |
Bohdan Khromenko, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3659 Ironstone Rd, Bethlehem, PA 18020 Phone: 267-575-3619 | |
Elaine Carboni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, # 202, Bethlehem, PA 18015 Phone: 610-954-8040 | |
Ms. Diane M. Gaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 | |
Mr. Humberto Ortiz Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 W Broad St, Bethlehem, PA 18018 Phone: 610-954-8040 | |
Christine M Rutkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Brighton St, # 202, Bethlehem, PA 18015 Phone: 610-954-8040 | |
Mrs. Kelly L. Kulak, MSN CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 |