| Lorileen C Bautista, | |
|
5425 Lanark Rd Ste 300, Center Valley, PA 18034-8697 | |
| (484) 658-5437 | |
| Not Available |
| Full Name | Lorileen C Bautista |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 5425 Lanark Rd Ste 300, Center Valley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942536909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | VP005422D (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 | Shriners Hospitals For Children |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorileen C Bautista, 5425 Lanark Rd Ste 300, Center Valley, PA 18034-8697 Ph: (484) 658-5437 | Lorileen C Bautista, 5425 Lanark Rd Ste 300, Center Valley, PA 18034-8697 Ph: (484) 658-5437 |
Mrs. Heather Jeanne Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5445 Lanark Rd Ste 103, Center Valley, PA 18034 Phone: 484-526-7035 | |
Mr. Austin Robert Reed, APRN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3800 Sierra Cir, Center Valley, PA 18034 Phone: 610-892-3800 | |
Jennifer A. Allen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5445 Lanark Rd Ste 300, Center Valley, PA 18034 Phone: 484-526-7300 Fax: 866-449-5832 | |
Patricia Likem Amedzekor, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3477 Corporate Pkwy Ste 100, Center Valley, PA 18034 Phone: 484-626-0480 Fax: 484-896-9002 | |
Elizabeth A Bidwell, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3800 Sierra Circle, Suite 100, Center Valley, PA 18034 Phone: 484-664-2090 Fax: 484-664-2089 | |
Amy Clancey, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3477 Corporate Pkwy Ste 100, Center Valley, PA 18034 Phone: 484-626-0480 Fax: 484-896-9002 | |
Mrs. Jasna Krispinsky, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5425 Lanark Road Suit 101, Center Valley, PA 18034 Phone: 484-822-6112 |