Stephanie Lilly, CRNP | |
3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 | |
(570) 574-4611 | |
Not Available |
Full Name | Stephanie Lilly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 3901 Bear Creek Blvd, Bear Creek Township, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285101592 | NPI | - | NPPES |
103612815-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN587980 (Pennsylvania) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | SP019836 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pam Physician Enterprise | 1254628589 | 33 |
Entity Name | Scot R Mckenna Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154409472 PECOS PAC ID: 6709884323 Enrollment ID: O20061115000137 |
Entity Name | Medical Center Of Northeastern Pa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872 |
Entity Name | Paul M Rutkowski Do Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164875464 PECOS PAC ID: 6608163746 Enrollment ID: O20160917000247 |
Entity Name | Pam Physician Enterprise |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962856161 PECOS PAC ID: 1254628589 Enrollment ID: O20190729001978 |
Entity Name | Regenerative Physical Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942923693 PECOS PAC ID: 7810367851 Enrollment ID: O20230107000010 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lilly, CRNP 3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 Ph: (570) 574-4611 | Stephanie Lilly, CRNP 3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 Ph: (570) 574-4611 |