| Mr Geoffrey Mutisya Muthami, CRNP | |
|
10498 Mapleton Rd, Shippensburg, PA 17257-9026 | |
| (717) 729-0806 | |
| Not Available |
| Full Name | Mr Geoffrey Mutisya Muthami |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 10498 Mapleton Rd, Shippensburg, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679059489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP018926 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Medical Pllc | 7315257540 | 13 |
| Eastern Pennsylvania Physician Alliance, Llc | 8325478662 | 96 |
| Entity Name | Creek Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376929679 PECOS PAC ID: 7315257540 Enrollment ID: O20151030000839 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Entity Name | Eastern Pennsylvania Physician Alliance, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902440621 PECOS PAC ID: 8325478662 Enrollment ID: O20200428001935 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Geoffrey Mutisya Muthami, CRNP 10498 Mapleton Rd, Shippensburg, PA 17257-9026 Ph: (717) 729-0806 | Mr Geoffrey Mutisya Muthami, CRNP 10498 Mapleton Rd, Shippensburg, PA 17257-9026 Ph: (717) 729-0806 |
Justin Baker Rife, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Walnut Bottom Rd Ste 100, Shippensburg, PA 17257 Phone: 717-477-2764 Fax: 717-217-4207 | |
Virginia Kyline Keefer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Walnut Bottom Rd Ste 200, Shippensburg, PA 17257 Phone: 717-532-4148 Fax: 717-532-3561 | |
Stacey Fague, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Walnut Bottom Rd, Shippensburg, PA 17257 Phone: 717-477-2764 | |
Page M. Kissinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Walnut Bottom Rd Ste 200, Shippensburg, PA 17257 Phone: 717-532-4148 Fax: 717-532-3561 | |
Mishey Joy Hammond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 S Fayette St, Shippensburg, PA 17257 Phone: 717-530-1698 | |
Susan West, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Walnut Bottom Rd, Shippensburg, PA 17257 Phone: 717-477-2764 Fax: 717-839-6951 |