| Miss Kathryn Susan Maceyko, CRNP | |
|
150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 | |
| (855) 478-8208 | |
| Not Available |
| Full Name | Miss Kathryn Susan Maceyko |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 150 Monument Rd Ste 500, Bala Cynwyd, 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 |
|---|---|---|---|
| 1760856736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN662358 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP015487 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patina Medical Group, Pc | 2567828460 | 8 |
| Patina Medical Group, Pc | 4688038854 | 5 |
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Patina Medical Group, Pc | 4688038854 | 5 |
| Entity Name | Patina Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801568910 PECOS PAC ID: 2567828460 Enrollment ID: O20230518003521 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kathryn Susan Maceyko, CRNP 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 Ph: (855) 478-8208 | Miss Kathryn Susan Maceyko, CRNP 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004-1701 Ph: (855) 478-8208 |
Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Christina Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Rock Hill Rd Ste 100, Bala Cynwyd, PA 19004 Phone: 215-847-6749 | |
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199 | |
Brandeis Brockman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-8300 | |
Melissa Brubaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Presidential Blvd Ste W3, Bala Cynwyd, PA 19004 Phone: 215-550-1614 Fax: 445-201-3851 | |
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481 |