Jamie Wallace, | |
559 W Germantown Pike, East Norriton, PA 19403-4250 | |
(484) 622-1248 | |
(484) 622-1269 |
Full Name | Jamie Wallace |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 559 W Germantown Pike, East Norriton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285406215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN676582 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN676582 (Pennsylvania) | Primary |
Entity Name | Einstein Practice Plan Inc |
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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 |
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Jamie Wallace, 101 E Olney Ave Ste 400, Philadelphia, PA 19120-2470 Ph: (215) 456-1825 | Jamie Wallace, 559 W Germantown Pike, East Norriton, PA 19403-4250 Ph: (484) 622-1248 |
Daniel Delaney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 123 W Germantown Pike, Suite 2, East Norriton, PA 19401 Phone: 610-278-7456 Fax: 610-278-7457 | |
Courtney B. Hartmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 215-456-7000 | |
Lori Jo Yakish, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 215-456-6850 Fax: 215-254-2599 | |
Rose Obrien, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 215-456-6850 Fax: 215-254-2599 | |
Mark Anthony Cane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1000 |