| Kate Cordisco, CRNP | |
|
293 Peat Moss Rd, White Haven, PA 18661-3803 | |
| (570) 972-4471 | |
| Not Available |
| Full Name | Kate Cordisco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 293 Peat Moss Rd, White Haven, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003246851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP013420 (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Advanced Inpatient Medicine Lehigh Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437537875 PECOS PAC ID: 7416269741 Enrollment ID: O20150630000466 |
| Entity Name | Tapestry Telehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20180222000127 |
| Entity Name | Mdwatch Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548842370 PECOS PAC ID: 3870992670 Enrollment ID: O20210603003023 |
| Entity Name | Chess Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699385021 PECOS PAC ID: 6406260736 Enrollment ID: O20210622000180 |
| Entity Name | Openloop Healthcare Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20211011001585 |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Cordisco, CRNP 293 Peat Moss Rd, White Haven, PA 18661-3803 Ph: (570) 972-4471 | Kate Cordisco, CRNP 293 Peat Moss Rd, White Haven, PA 18661-3803 Ph: (570) 972-4471 |