| Mr Krishan Keck, CRNP | |
|
1013 Mumma Rd Ste 202, Wormleysburg, PA 17043-1144 | |
| (717) 648-1269 | |
| (717) 229-8051 |
| Full Name | Mr Krishan Keck |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1013 Mumma Rd Ste 202, Wormleysburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114684685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024041 (Pennsylvania) | Primary |
| 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 |
|---|---|
| Mr Krishan Keck, CRNP 1013 Mumma Rd Ste 202, Wormleysburg, PA 17043-1144 Ph: (717) 648-1269 | Mr Krishan Keck, CRNP 1013 Mumma Rd Ste 202, Wormleysburg, PA 17043-1144 Ph: (717) 648-1269 |
Mr. Vincent Joseph Laird, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1013 Mumma Rd Ste 303, Wormleysburg, PA 17043 Phone: 717-516-7278 | |
Jamie J Smith, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1013 Mumma Rd, Wormleysburg, PA 17043 Phone: 717-516-7271 | |
Bridget Fanus Charles, DNP, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1023 Mumma Rd, Wormleysburg, PA 17043 Phone: 717-737-3377 Fax: 717-737-3387 | |
Mary Louise E Osevala, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Alyssa Ann Williams, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1013 Mumma Rd Ste 303, Wormleysburg, PA 17043 Phone: 717-761-4002 | |
Mrs. Alison Margaret O'dea, ACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 |