| Miss Sophia Rush, MSN, CRNP | |
| 400 E 2nd St, Bloomsburg, PA 17815-1301 | |
| (570) 389-4451 | |
| Not Available | 
| Full Name | Miss Sophia Rush | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 400 E 2nd St, Bloomsburg, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942518485 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SPO10177 (Pennsylvania) | Primary | 
| Entity Name | Lehigh Valley Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 | 
| Entity Name | Schuylkill Health System Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miss Sophia Rush, MSN, CRNP Po Box 437, 19 West Market St, Tresckow, PA 18254-0437 Ph: (570) 450-6623 | Miss Sophia Rush, MSN, CRNP 400 E 2nd St, Bloomsburg, PA 17815-1301 Ph: (570) 389-4451 | 
| Dr. Siobhan Bross Stoltzfus, CRNP, AANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Mall Blvd, Bloomsburg, PA 17815 Phone: 570-416-8200 Fax: 570-416-8210 | |
| Jeanette Cahill Diforte,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 549 Fair St, Bloomsburg, PA 17815 Phone: 570-387-2111 | |
| Mrs. Swanee Barbara Marcus, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22015 5th Street Hollow Rd Ste 1, Columbia Montour Family Health, Bloomsburg, PA 17815 Phone: 570-387-0236 Fax: 570-784-1942 | |
| Mrs. Lucinda Lee Harris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E 2nd St, Rm. 324 Kub, Bloomsburg University Of Pa, Bloomsburg, PA 17815 Phone: 570-389-4451 Fax: 570-389-3417 | |
| Nelson Anthony Iannuzzi, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 480 Central Rd, Bloomsburg, PA 17815 Phone: 570-387-6150 Fax: 570-387-6185 | |
| Dr. Diane Elaine Knudsen, DHA, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 549 Fair St, Bloomsburg, PA 17815 Phone: 570-387-2111 Fax: 570-387-2245 | |
| Sherry Gordner, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2407 Reichart Rd, Bloomsburg, PA 17815 Phone: 570-784-8303 Fax: 570-387-5030 |