| Elijah Livingston Hanna, PA-C | |
|
7133 Nittany Valley Dr, Mill Hall, PA 17751 | |
| (570) 726-7992 | |
| (570) 726-2242 |
| Full Name | Elijah Livingston Hanna |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7133 Nittany Valley Dr, Mill Hall, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164855086 | NPI | - | NPPES |
| 103272375 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA056281 (Pennsylvania) | Primary |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972548337 PECOS PAC ID: 2264336460 Enrollment ID: O20040426001371 |
| Entity Name | Medexpress Urgent Care, PC - Pennsylvania |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982839031 PECOS PAC ID: 8224181482 Enrollment ID: O20090805000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Livingston Hanna, PA-C 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123 | Elijah Livingston Hanna, PA-C 7133 Nittany Valley Dr, Mill Hall, PA 17751 Ph: (570) 726-7992 |
Miss Nadine Marie Mcgraw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7133 Nittany Valley Dr, Mill Hall, PA 17751 Phone: 570-726-7992 |
Sandra L Beck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7133 Nittany Valley Dr, Mill Hall, PA 17751 Phone: 570-726-7992 Fax: 570-726-6554 |
Jennifer Elizabeth Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7133 Nittany Valley Dr, Mill Hall, PA 17751 Phone: 570-726-7992 Fax: 570-726-6554 |
Barbara M Buckley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7133 Nittany Valley Dr, Mill Hall, PA 17751 Phone: 570-726-7992 Fax: 570-726-6554 |