Kristin D'emilio, | |
200 Walnut Hill Ln, Havertown, PA 19083-2812 | |
(484) 716-0018 | |
Not Available |
Full Name | Kristin D'emilio |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 200 Walnut Hill Ln, Havertown, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992369722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN661444 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP020723 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 894 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Entity Name | Prospect Health Access Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
---|---|
Kristin D'emilio, 200 Walnut Hill Ln, Havertown, PA 19083-2812 Ph: (484) 716-0018 | Kristin D'emilio, 200 Walnut Hill Ln, Havertown, PA 19083-2812 Ph: (484) 716-0018 |
Mrs. Tara Ann Bussett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike Ste 350, Havertown, PA 19083 Phone: 610-853-1112 Fax: 610-446-1425 | |
Lijuan Yuan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 448, Havertown, PA 19083 Phone: 610-853-2502 | |
Jamie Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Township Line Rd, Havertown, PA 19083 Phone: 888-985-2727 | |
Veronica Gottsch, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Davis Rd, Havertown, PA 19083 Phone: 610-329-0834 | |
Ashley Womack, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Chester Pike Ste 102a, Havertown, PA 19083 Phone: 610-446-3650 | |
Mrs. Shayne King Dougherty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Greenview Ln, Havertown, PA 19083 Phone: 610-924-9763 | |
Debra R Abraham, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 143 Colfax Rd, Havertown, PA 19083 Phone: 610-446-2817 |