| London Nicole Mckenna, CRNP | |
|
11 Gallagher Dr, Plains, PA 18705-1146 | |
| (570) 970-1030 | |
| (570) 970-0511 |
| Full Name | London Nicole Mckenna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 11 Gallagher Dr, Plains, 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 |
|---|---|---|---|
| 1275141848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP022228 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Pain Management Specialists, Pc | 2365333515 | 2 |
| Entity Name | Advanced Pain Management Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265432637 PECOS PAC ID: 2365333515 Enrollment ID: O20040408000174 |
| Mailing Address | Practice Location Address |
|---|---|
| London Nicole Mckenna, CRNP 627 Wales St, Scranton, PA 18508-1331 Ph: (570) 780-6821 | London Nicole Mckenna, CRNP 11 Gallagher Dr, Plains, PA 18705-1146 Ph: (570) 970-1030 |
Mr. Christopher Dominick Ellis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 667 N River St #201, Plains, PA 18705 Phone: 570-823-1111 | |
Kaci Wall, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 S River St, Plains, PA 18705 Phone: 570-824-8151 | |
Mrs. Catherine Forlenza, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 672 N River St, Suite 111, Plains, PA 18705 Phone: 570-552-7150 Fax: 570-552-7155 |