| Dallas Joseph Cousins, RN,NP | |
|
77 Glade Dr, Kittanning, PA 16201-7140 | |
| (724) 545-2205 | |
| (724) 545-2600 |
| Full Name | Dallas Joseph Cousins |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 77 Glade Dr, Kittanning, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669140240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN695719 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concordia Visiting Nurses | Cabot, PA | Home health agency |
| Acmh Hospital | Kittanning, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glade Run Medical Associates Inc | 3577696897 | 28 |
| Entity Name | Glade Run Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881820850 PECOS PAC ID: 3577696897 Enrollment ID: O20100806000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Joseph Cousins, RN,NP Po Box 977, Kittanning, PA 16201-0977 Ph: (800) 634-0201 | Dallas Joseph Cousins, RN,NP 77 Glade Dr, Kittanning, PA 16201-7140 Ph: (724) 545-2205 |
Dr. Brittaney Leigh Moore, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8268 | |
Christine Burghart Cassesse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Jefferson St, Kittanning, PA 16201 Phone: 724-543-2941 Fax: 724-548-8119 | |
Andrea L Dorinsky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Franklin Village Mall, Kittanning, PA 16201 Phone: 724-543-3278 Fax: 724-431-4306 | |
Mr. Matthew D Starr, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 316 1st Ave, Suite 275, Kittanning, PA 16201 Phone: 724-545-2205 Fax: 724-545-2600 | |
Lisa Shay Bono, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 833-246-7662 Fax: 724-671-1706 | |
Mary M Shannon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8536 Fax: 724-543-8743 | |
Charlotte A Dehgan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Nolte Dr, Kittanning, PA 16201 Phone: 724-543-8164 Fax: 724-543-8616 |