| Rayna Sophie Tarlow, | |
|
306 E Lancaster Ave Ste 400, Wynnewood, PA 19096-2100 | |
| (484) 476-7222 | |
| Not Available |
| Full Name | Rayna Sophie Tarlow |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 306 E Lancaster Ave Ste 400, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245991819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP024905 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP024905 (Pennsylvania) | Primary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayna Sophie Tarlow, 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1632 | Rayna Sophie Tarlow, 306 E Lancaster Ave Ste 400, Wynnewood, PA 19096-2100 Ph: (484) 476-7222 |
Altaira Anne Laverda, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 E Lancaster Ave Ste 200, Wynnewood, PA 19096 Phone: 484-565-1293 Fax: 484-476-7855 | |
Melinda R Milliken, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096 Phone: 610-642-3796 | |
Jacqueline S Shapiro, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lancaster Ave, Suite 301, Wynnewood, PA 19096 Phone: 484-476-4650 Fax: 610-645-3577 | |
Ms. Ellen Jesse Bernstein, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 370, Wynnewood, PA 19096 Phone: 610-642-3005 Fax: 610-642-3057 | |
Melissa Diane Buchter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000 | |
Ms. Sherrie Stiffler Freilich, RN CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Lankenau Heart Pavilion, Mezzanine, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000 | |
Jacqueline Mcgee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100e Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000 |