| Nicholas Samuel Krajacic, CRNP | |
|
1700 Old Gatesburg Rd Ste 310, State College, PA 16803-2276 | |
| (814) 237-3122 | |
| Not Available |
| Full Name | Nicholas Samuel Krajacic |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 1700 Old Gatesburg Rd Ste 310, State College, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457114399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP029207 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 1824 |
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Samuel Krajacic, CRNP 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 231-7000 | Nicholas Samuel Krajacic, CRNP 1700 Old Gatesburg Rd Ste 310, State College, PA 16803-2276 Ph: (814) 237-3122 |
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