| Colleen E Mcclay, CRNP | |
|
2200 Northampton St, Easton, PA 18042-3154 | |
| (445) 448-1623 | |
| (307) 248-1623 |
| Full Name | Colleen E Mcclay |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2200 Northampton St, Easton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396261293 | NPI | - | NPPES |
| 103485042 | Medicaid | PA | |
| ORP | Medicaid | PA | |
| 100730753 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP018039 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP018039 (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 | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen E Mcclay, CRNP 219 Robins Ct, Saylorsburg, PA 18353-8099 Ph: (484) 707-1737 | Colleen E Mcclay, CRNP 2200 Northampton St, Easton, PA 18042-3154 Ph: (445) 448-1623 |
Tyler Mclean, CRNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd, Easton, PA 18045 Phone: 484-591-7205 | |
Mrs. Elizabeth Renee Hill, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537 | |
Kyle Latourette, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 St Lukes Blvd, Easton, PA 18045 Phone: 484-503-4673 | |
Jamila Gummo, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2884 Hodle Ave, Easton, PA 18045 Phone: 161-078-1981 | |
Nichole Padron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 3rd St, 2nd Floor, Easton, PA 18042 Phone: 484-503-8010 | |
Amanda Alicia Johns, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd Ste 10, Easton, PA 18045 Phone: 484-591-7205 | |
Mrs. Bianca Nicole Cardeiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537 |