| Mr Jeffrey P Kulsa, CRNP | |
|
50 Moisey Dr Ste 103, Hazle Township, PA 18202-9297 | |
| (570) 501-6580 | |
| (570) 501-6598 |
| Full Name | Mr Jeffrey P Kulsa |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 50 Moisey Dr Ste 103, Hazle Township, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730328303 | NPI | - | NPPES |
| 102378306-0003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN512608L (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP010184 (Pennsylvania) | Primary |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Entity Name | Adfinitas Health Palliative Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710734785 PECOS PAC ID: 0042609307 Enrollment ID: O20240628001823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey P Kulsa, CRNP Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 884-4500 | Mr Jeffrey P Kulsa, CRNP 50 Moisey Dr Ste 103, Hazle Township, PA 18202-9297 Ph: (570) 501-6580 |
Julia Rose Shellhamer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 N Church St, Hazle Township, PA 18202 Phone: 570-454-9981 |
Angela Lombardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1097b N Church St, Hazle Township, PA 18202 Phone: 272-639-5650 |
Margaret Brown, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 Airport Rd, Hazle Township, PA 18202 Phone: 570-459-9730 Fax: 570-459-9736 |
Eric Sherman, CRNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201a N Church St Ste 103, Hazle Township, PA 18202 Phone: 570-455-8544 Fax: 570-579-1015 |
Natalie Thorington, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 N Church St Ste 105, Hazle Township, PA 18202 Phone: 570-454-7546 Fax: 215-482-7548 |
Mr. Lennie Romero, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 N Church St, Hazle Township, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354 |
Tracey Marie Dixon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Park Pl, Hazle Township, PA 18202 Phone: 570-454-1400 Fax: 570-454-2144 |