| Aimee Detweiler, CRNP | |
|
114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 | |
| (570) 255-1178 | |
| (570) 255-1156 |
| Full Name | Aimee Detweiler |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 114 Lt Michael Cleary Dr, Dallas, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023407244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP014073 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP014073 (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 | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Entity Name | Infinite Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20201021000978 |
| Mailing Address | Practice Location Address |
|---|---|
| Aimee Detweiler, CRNP 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Aimee Detweiler, CRNP 114 Lt Michael Cleary Dr, Dallas, PA 18612-1649 Ph: (570) 255-1178 |
Rachael Ann Waligun, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Follies Rd, Dallas, PA 18612 Phone: 570-675-1101 | |
Mrs. Angela Mary Evans, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Lake Street, Misericordia University's Health & Wellness Center, Dallas, PA 18612 Phone: 570-674-6276 | |
Sarah Ashley Red, MSN-PMHNP, BSN-RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3154 Memorial Hwy Ste 100, Dallas, PA 18612 Phone: 570-539-7234 Fax: 570-324-4238 | |
Jessica May Lee, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Lt Michael Cleary Dr, Dallas, PA 18612 Phone: 570-255-1178 Fax: 570-255-1156 | |
Mrs. Holly Ann Kalinay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 649 Cornfield Way Apt 302, Dallas, PA 18612 Phone: 570-846-1029 | |
Mrs. Ayana Doran, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Upper Demunds Rd, Dallas, PA 18612 Phone: 570-983-4941 |