| Mrs Tricia-kay Ellersick-lopez, CRNP | |
|
3899 Wood Dr, Walnutport, PA 18088-9414 | |
| (570) 801-6255 | |
| Not Available |
| Full Name | Mrs Tricia-kay Ellersick-lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3899 Wood Dr, Walnutport, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376946970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP014274 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital - Pocono | East stroudsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Entity Name | Family Care Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
| 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 | 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 |
|---|---|
| Mrs Tricia-kay Ellersick-lopez, CRNP 3899 Wood Drive, Walnutport, PA 18088 Ph: (570) 801-6255 | Mrs Tricia-kay Ellersick-lopez, CRNP 3899 Wood Dr, Walnutport, PA 18088-9414 Ph: (570) 801-6255 |
Mrs. Kirsten Marie Bickert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 828 Creek Rd, Walnutport, PA 18088 Phone: 484-506-9048 | |
Dylan Danko, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 N Best Ave Ste A, Walnutport, PA 18088 Phone: 610-628-8922 |