| Kangsun Jin, CRNP | |
|
134 Braddock Dr, Latrobe, PA 15650-1034 | |
| (929) 395-6116 | |
| Not Available |
| Full Name | Kangsun Jin |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 134 Braddock Dr, Latrobe, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023809167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP033087 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana Regional Medical Center | Indiana, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Guidance Center | 7517850720 | 15 |
| Entity Name | Community Guidance Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609862622 PECOS PAC ID: 7517850720 Enrollment ID: O20040203000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Kangsun Jin, CRNP 134 Braddock Dr, Latrobe, PA 15650-1034 Ph: (929) 395-6116 | Kangsun Jin, CRNP 134 Braddock Dr, Latrobe, PA 15650-1034 Ph: (929) 395-6116 |
Sarah Marie Surowiec, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 E Tacoma Ave, Latrobe, PA 15650 Phone: 724-875-6263 |
Elizabeth A Byers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-537-1000 |
Danielle Jolene Smith, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mellon Way, Latrobe, PA 15650 Phone: 724-689-0520 Fax: 724-689-0522 |
Judith D Shabbick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 W 2nd Ave, Latrobe, PA 15650 Phone: 724-537-1650 Fax: 724-532-6047 |
Amanda Nicole Dalla Betta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Excela Health Dr Ste 103, Latrobe, PA 15650 Phone: 724-804-1780 Fax: 724-804-1777 |
Mary Mcmahon, DNP, FNP-BC, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Pa-217, #1, Latrobe, PA 15650 Phone: 724-694-2723 |
Julia Dando, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Liberty Ln, Latrobe, PA 15650 Phone: 724-537-9208 Fax: 724-537-0867 |