| Dr Lydia Gibson, CRNP | |
| 609 W Germantown Pike Ste 260, Norristown, PA 19403-4243 | |
| (484) 622-7820 | |
| (484) 622-7830 | 
| Full Name | Dr Lydia Gibson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 609 W Germantown Pike Ste 260, Norristown, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699410324 | NPI | - | NPPES | 
| 1040204430004 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025660 (Pennsylvania) | Primary | 
| Entity Name | Einstein Practice Plan Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lydia Gibson, CRNP 101 E Olney Ave Ste 400, Philadelphia, PA 19120-2470 Ph: (215) 456-1825 | Dr Lydia Gibson, CRNP 609 W Germantown Pike Ste 260, Norristown, PA 19403-4243 Ph: (484) 622-7820 | 
| Ms. Nicole Elizabeth Hobson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Beech Dr, Norristown, PA 19403 Phone: 610-279-6100 Fax: 610-279-0978 | |
| Julia Stockton Philips, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Pine St, Norristown, PA 19401 Phone: 410-543-1957 | |
| Mrs. Tara Irene Colella Niesen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 Powell St Ste 507, Norristown, PA 19401 Phone: 484-622-7940 Fax: 484-622-7950 | |
| Mary Ann Dellostretto, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 Dekalb Pike, Suite 205, Norristown, PA 19401 Phone: 610-277-6400 Fax: 610-275-8861 | |
| Mrs. Christine Marie Coletta-hansen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Powell St, Ste 100, Norristown, PA 19401 Phone: 610-272-1080 Fax: 610-270-0163 | |
| Mrs. Susan Lynn Wheary, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 Dekalb Pike, Suite 205, Norristown, PA 19401 Phone: 610-277-6400 Fax: 610-275-8861 | |
| Mark Heimann, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Powell St, Suite 301 Cardiology Consultants Of Phila, Norristown, PA 19401 Phone: 610-272-3253 Fax: 610-272-8826 |