| Beth Gingrich Deckard, CRNP | |
|
21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870-9148 | |
| (570) 374-7852 | |
| (570) 374-7932 |
| Full Name | Beth Gingrich Deckard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619916111 | NPI | - | NPPES |
| 1031841380001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP005262B (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN266917L (Pennsylvania) | Secondary |
| Entity Name | Family Practice Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Gingrich Deckard, CRNP 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Beth Gingrich Deckard, CRNP 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870-9148 Ph: (570) 374-7852 |
Taylor Renee Showers, CRNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Susquehanna Valley Mall Dr Ste A, Selinsgrove, PA 17870 Phone: 570-374-7852 Fax: 570-374-7932 |
Ms. Gloria H. Pedrick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 16th St, Selinsgrove, PA 17870 Phone: 570-374-0151 Fax: 570-374-0311 |
Noel Trusal, CRNP, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Meadowview Dr, Selinsgrove, PA 17870 Phone: 570-765-2954 |
Judie Marie Steinbacher, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Susquehanna Valley Mall Dr, Suite A, Selinsgrove, PA 17870 Phone: 570-374-7852 Fax: 570-374-7932 |
Laura Olivia Hummel, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Susquehanna Valley Mall Dr Ste 800, Selinsgrove, PA 17870 Phone: 570-884-7925 Fax: 570-374-0176 |
Christina Marlo Raup, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Susquehanna Valley Mall Dr Ste 800, Selinsgrove, PA 17870 Phone: 570-884-7925 Fax: 570-374-0176 |
Ms. Ann Marie Metzger General, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 University Ave, Selinsgrove, PA 17870 Phone: 570-372-0536 Fax: 570-372-0539 |