| Julian K Derr, CRNP | |
|
2605 Keiser Blvd, Wyomissing, PA 19610-3338 | |
| (610) 685-8500 | |
| (610) 685-4833 |
| Full Name | Julian K Derr |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2605 Keiser Blvd, Wyomissing, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215406293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | SP019006 (Pennsylvania) | Primary |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Julian K Derr, CRNP Po Box 448, East Petersburg, PA 17520-0448 Ph: (717) 391-7092 | Julian K Derr, CRNP 2605 Keiser Blvd, Wyomissing, PA 19610-3338 Ph: (610) 685-8500 |
Susan L O'brien, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528 | |
Mrs. Lindsey Jane Buynovsky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Reed Ave, Wyomissing, PA 19610 Phone: 610-898-7000 | |
Jennifer Lynn Burnett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610 Phone: 484-628-5673 Fax: 484-628-3139 | |
Mrs. Katelyn Marie Youst, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Reed Ave Ste 402, Wyomissing, PA 19610 Phone: 484-628-4270 | |
Jordyn Simons, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 932 Penn Ave Fl 1, Wyomissing, PA 19610 Phone: 484-513-3793 Fax: 484-509-5122 | |
Krislyn Milligan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Berkshire Ct, Wyomissing, PA 19610 Phone: 610-374-7400 Fax: 610-374-4252 | |
Janina Harvell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2607 Keiser Blvd Ste 100, Wyomissing, PA 19610 Phone: 610-743-3139 Fax: 610-743-3143 |