| Grace Masakadza, | |
|
124 Country View Way, Telford, PA 18969-1338 | |
| (267) 640-6113 | |
| Not Available |
| Full Name | Grace Masakadza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 124 Country View Way, Telford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104690122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP028528 (Pennsylvania) | Primary |
| Entity Name | Suburban Geriatric's, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679594808 PECOS PAC ID: 4486551371 Enrollment ID: O20031218000064 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Entity Name | Suburban Geriatrics Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073273363 PECOS PAC ID: 9537552419 Enrollment ID: O20220217001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Masakadza, 124 Country View Way, Telford, PA 18969-1338 Ph: (267) 640-6113 | Grace Masakadza, 124 Country View Way, Telford, PA 18969-1338 Ph: (267) 640-6113 |
Mrs. Eileen K Souder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Telford Pike, Telford, PA 18969 Phone: 215-723-7833 Fax: 215-723-2904 | |
Ayran Elizabeth Hendricks, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Nectar Run, Telford, PA 18969 Phone: 267-475-5155 | |
Ashley Michener Stranges, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Telford Pike, Telford, PA 18969 Phone: 215-723-7833 Fax: 267-517-9028 | |
Jennifer Nolte, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Telford Pike, Telford, PA 18969 Phone: 215-723-7833 | |
Steven Fondo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 289 Country Club Dr, Telford, PA 18969 Phone: 702-449-2621 | |
Barbara Ann Reall, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 377 Ridge Rd, Telford, PA 18969 Phone: 215-534-1434 |