| Jill Ann Ferretti, CRNP | |
| 4 E Main St, Nanticoke, PA 18634-1602 | |
| (570) 258-3939 | |
| (570) 735-2921 | 
| Full Name | Jill Ann Ferretti | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4 E Main St, Nanticoke, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093490161 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP0727275 (Pennsylvania) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | SP027275 (Pennsylvania) | Primary | 
| Entity Name | Commonwealth Physician Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003238635 PECOS PAC ID: 2668696592 Enrollment ID: O20140617000549 | 
| 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 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jill Ann Ferretti, CRNP 125 Manor Dr, Shavertown, PA 18708-9679 Ph: (570) 540-6896 | Jill Ann Ferretti, CRNP 4 E Main St, Nanticoke, PA 18634-1602 Ph: (570) 258-3939 | 
| Suzanne Rae, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 E Main St, Nanticoke, PA 18634 Phone: 570-258-1304 Fax: 570-258-1305 | |
| Mrs. Linda A O'boyle, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Prospect St, Nanticoke, PA 18634 Phone: 570-735-7590 | |
| Carol A Medura, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 233 S Prospect St, Nanticoke, PA 18634 Phone: 570-735-0102 |