David Petersen, | |
471 Hepburn St, Williamsport, PA 17701-6122 | |
(570) 546-5400 | |
Not Available |
Full Name | David Petersen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 471 Hepburn St, Williamsport, 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 |
---|---|---|---|
1225497894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SPO15897 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Che Senior Care Therapy Services, Pc | 8123269149 | 13 |
Che Senior Psychological Services, Pc | 8022905314 | 110 |
Entity Name | Che Senior Care Therapy Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144666496 PECOS PAC ID: 8123269149 Enrollment ID: O20130802000053 |
Mailing Address | Practice Location Address |
---|---|
David Petersen, 471 Hepburn St, Williamsport, PA 17701-6122 Ph: (570) 546-5400 | David Petersen, 471 Hepburn St, Williamsport, PA 17701-6122 Ph: (570) 546-5400 |
Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821 | |
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421 | |
Jacqueline Stroehmann, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Lincoln Ave, Williamsport, PA 17701 Phone: 570-326-2294 | |
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811 | |
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800 | |
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 |