| Mr Jason R Potts, CRNP | |
|
1337 Blue Valley Dr, Ste 8, Pen Argyl, PA 18072-1815 | |
| (610) 654-1230 | |
| (610) 654-1232 |
| Full Name | Mr Jason R Potts |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1337 Blue Valley Dr, Pen Argyl, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861559387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP009273 (Pennsylvania) | Primary |
| Entity Name | Aria Health Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750949806 PECOS PAC ID: 3577467018 Enrollment ID: O20040224000045 |
| 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 |
| Entity Name | St Luke's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232719 PECOS PAC ID: 0648189688 Enrollment ID: O20040601000769 |
| Entity Name | St. Luke's Quakertown Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052616 PECOS PAC ID: 8224010350 Enrollment ID: O20040708000267 |
| Entity Name | Pennsylvania Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
| Entity Name | St Lukes Hospital-anderson Campus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376965731 PECOS PAC ID: 5799924114 Enrollment ID: O20141021000312 |
| Entity Name | Grand View Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891359287 PECOS PAC ID: 8224368949 Enrollment ID: O20190924000245 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason R Potts, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: () - | Mr Jason R Potts, CRNP 1337 Blue Valley Dr, Ste 8, Pen Argyl, PA 18072-1815 Ph: (610) 654-1230 |
Miss Heather Azzalina, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1337 Blue Valley Dr, Pen Argyl, PA 18072 Phone: 610-654-1200 Fax: 610-654-1201 | |
Gabriela Lucia Hogan, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 Blue Valley Dr, Pen Argyl, PA 18072 Phone: 610-654-1270 |