| Mrs Erika Lynn Black, FNP-C | |
|
103 Spruce St Ste 201, Hawley, PA 18428-1149 | |
| (570) 390-4545 | |
| (570) 390-4546 |
| Full Name | Mrs Erika Lynn Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 103 Spruce St Ste 201, Hawley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932616356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP018451 (Pennsylvania) | Primary |
| 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 | Lake Scranton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194186957 PECOS PAC ID: 0648554220 Enrollment ID: O20170227000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erika Lynn Black, FNP-C 516 1st St, Eynon, PA 18403-1437 Ph: (570) 313-0006 | Mrs Erika Lynn Black, FNP-C 103 Spruce St Ste 201, Hawley, PA 18428-1149 Ph: (570) 390-4545 |
Jason Louis Phillips, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2531 Route 6 Ste 3, Hawley, PA 18428 Phone: 570-855-8074 | |
Mrs. Alyssa Mary Kasheta, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Spruce St, Hawley, PA 18428 Phone: 570-576-8081 | |
Allison Faith Miller, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Spruce St, Hawley, PA 18428 Phone: 570-576-8081 Fax: 570-230-0013 |