| Brenda Stack, NP | |
|
1 Guthrie Sq, Sayre, PA 18840-1625 | |
| (570) 888-5858 | |
| Not Available |
| Full Name | Brenda Stack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1 Guthrie Sq, Sayre, 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 |
|---|---|---|---|
| 1164851259 | NPI | - | NPPES |
| SP013188 | Other | PA | CRNP LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP013188 (Pennsylvania) | Primary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | SP013188 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Packer Hospital | Sayre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Stack, NP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Brenda Stack, NP 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 |
Jennifer M Altieri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-2841 Fax: 571-887-2364 | |
Stacy Ann Miller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 | |
Mrs. Tracey Lynn Wilkerson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 Fax: 570-887-6822 | |
Justin David Loomis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5497 Fax: 570-887-2244 | |
Shawn Trevor Bunnell, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1537 Elmira St, Sayre, PA 18840 Phone: 570-824-3521 | |
Lynn Marie Schutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-887-5696 | |
Mrs. Nicole Lynne Witman, M.S., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Guthrie Sq, Sayre, PA 18840 Phone: 570-888-5858 |