| Beth Ann Jordan, CRNP | |
|
412 W Market St, Middleburg, PA 17842-1076 | |
| (570) 837-6163 | |
| (570) 837-7224 |
| Full Name | Beth Ann Jordan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 412 W Market St, Middleburg, 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 |
|---|---|---|---|
| 1548222433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | VP006090B (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | VP006090B (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Ann Jordan, CRNP 1 Hospital Dr, Suite 306, Lewisburg, PA 17837-9350 Ph: (570) 522-4110 | Beth Ann Jordan, CRNP 412 W Market St, Middleburg, PA 17842-1076 Ph: (570) 837-6163 |
Anna Marie Zimmerman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 W Market St, Middleburg, PA 17842 Phone: 570-837-6163 Fax: 570-837-7224 | |
Stacy L Chubb, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Dock Hill Rd, Middleburg, PA 17842 Phone: 570-837-5889 Fax: 570-837-6600 |