| Christine Plasic-van Wagner, CRNP | |
|
283 S Butler Rd, Lebanon, PA 17042-8939 | |
| (717) 273-8871 | |
| Not Available |
| Full Name | Christine Plasic-van Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 283 S Butler Rd, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801157169 | NPI | - | NPPES |
| 102747150 | Medicaid | PA | |
| SP010192 | Other | PA | STATE LICENSE - CRNP |
| RN212931L | Other | PA | STATE LICENSE - RN |
| 12408945 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP010192 (Pennsylvania) | Primary |
| Entity Name | Philhaven |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Plasic-van Wagner, CRNP 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555 | Christine Plasic-van Wagner, CRNP 283 S Butler Rd, Lebanon, PA 17042-8939 Ph: (717) 273-8871 |
Mrs. Alina N Glazunova, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Mr. Neil Baksh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Norman Dr, Lebanon, PA 17042 Phone: 717-274-5500 | |
Andrea Bachman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 844 Tuck St, Lebanon, PA 17042 Phone: 717-639-3150 | |
Maria Michelle Druckman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Mrs. Kaley Elizabeth Barrett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7732 Fax: 717-270-7639 | |
Kathy Zubik, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Ash Ln, Lebanon, PA 17042 Phone: 717-304-1779 | |
Jennifer Anne Noggle, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St Fl 2, Lebanon, PA 17042 Phone: 717-270-3751 Fax: 717-270-3754 |