| Richard Gould, CRNP | |
|
5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 | |
| (610) 262-6641 | |
| Not Available |
| Full Name | Richard Gould |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366137465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP027406 (Pennsylvania) | Primary |
| 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 | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Gould, CRNP 2100 Mack Blvd, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Richard Gould, CRNP 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 Ph: (610) 262-6641 |
Ashley Williams, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-0428 | |
Kelsey Emery, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059 Phone: 610-261-1123 | |
Sarah Wizar, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 203, Laurys Station, PA 18059 Phone: 610-261-1123 |