| Mr Jacob Burnell Penhollow, FNP-BC | |
|
116 Interstate Pkwy, Bradford, PA 16701-1036 | |
| (814) 362-8274 | |
| Not Available |
| Full Name | Mr Jacob Burnell Penhollow |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 116 Interstate Pkwy, Bradford, 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 |
|---|---|---|---|
| 1285453936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 351530 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olean General Hospital | Olean, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delphi Healthcare Pllc | 9537229661 | 68 |
| Entity Name | Delphi Healthcare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20221222000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Burnell Penhollow, FNP-BC 1160 Chili Ave Ste 200, Rochester, NY 14624-3035 Ph: (585) 426-4990 | Mr Jacob Burnell Penhollow, FNP-BC 116 Interstate Pkwy, Bradford, PA 16701-1036 Ph: (814) 362-8274 |
Darlene G Venezia Skaggs, MSN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 E. Main Sreet, Bradford, PA 16701 Phone: 814-368-1000 Fax: 814-368-1008 |
Karen Marie Kline, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6536 Fax: 814-817-2113 |
Andrew Davidson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 214-368-9600 |
Julie Whitcher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Interstate Pkwy, Bradford, PA 16701 Phone: 716-375-7500 |
Mrs. Tammy Michelle Haley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 1/2 Mechanic Street, Bradford, PA 16701 Phone: 814-368-6129 Fax: 814-368-6174 |
Ms. Karen Mcclain, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy Ste 41, Bradford, PA 16701 Phone: 814-368-4143 |
Dr. Bonnie Marie Woodruff, DNP, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-817-2113 |