| Carol A Medura, CRNP | |
| 233 S Prospect St, Nanticoke, PA 18634-2443 | |
| (570) 735-0102 | |
| Not Available | 
| Full Name | Carol A Medura | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 233 S Prospect St, Nanticoke, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588918650 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP012432 (Pennsylvania) | Primary | 
| Entity Name | Medexpress Urgent Care, Pc - Pennsylvania | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982839031 PECOS PAC ID: 8224181482 Enrollment ID: O20090805000511 | 
| Entity Name | Pennsylvania Physician Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carol A Medura, CRNP 89 Fawn Ridge Rd, White Haven, PA 18661-3623 Ph: (570) 443-0614 | Carol A Medura, CRNP 233 S Prospect St, Nanticoke, PA 18634-2443 Ph: (570) 735-0102 | 
| Jill Ann Ferretti, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 E Main St, Nanticoke, PA 18634 Phone: 570-258-3939 Fax: 570-735-2921 | |
| Suzanne Rae, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 E Main St, Nanticoke, PA 18634 Phone: 570-258-1304 Fax: 570-258-1305 | |
| Mrs. Linda A O'boyle, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 |