| Lula Thomas, | |
|
340 Montage Mountain Rd, Moosic, PA 18507-1782 | |
| (570) 346-3686 | |
| (570) 558-6838 |
| Full Name | Lula Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 340 Montage Mountain Rd, Moosic, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245668177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP013238 (Pennsylvania) | Primary |
| Entity Name | Isl, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770592370 PECOS PAC ID: 4587565734 Enrollment ID: O20040120000340 |
| Entity Name | Nulton Diagnostic &treatment Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Lula Thomas, 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 | Lula Thomas, 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 |
Marie T Zedalis, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Tomislav Kucuk, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Glenmaura National Boulevard, Moosic, PA 18507 Phone: 570-808-7300 | |
Nathan Jarick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 | |
Amanda Leigh Craven, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 | |
Jessica M Sabato, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 | |
Mrs. Teresa M Clark, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Montage Mountain Rd, Moosic, PA 18507 Phone: 570-346-3686 Fax: 570-558-6838 |