| Mackenzie Wirth, | |
|
100 N Academy Ave, Danville, PA 17822-9800 | |
| (570) 271-6211 | |
| Not Available |
| Full Name | Mackenzie Wirth |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 100 N Academy Ave, Danville, 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 |
|---|---|---|---|
| 1861264491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN747662 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Wirth, 1395 Keystone Way, Newport, PA 17074-9429 Ph: (717) 635-5941 | Mackenzie Wirth, 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-6211 |
Roslyn Marie Feaster, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Nissa Ann Freeze, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 507 E Market St, Danville, PA 17821 Phone: 157-027-5496 | |
Michael Seldomridge, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Julie L. Kleinbauer, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6396 Fax: 570-271-5840 | |
Ms. Joanne Rogers, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Timothy Francis Schwartzer, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Ms. Mary Lynn M. Moore, CRNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 |