| Samantha Ouellet, | |
|
203 Commerce Drive, Suite G, Quarryville, PA 17566-9723 | |
| (717) 284-3137 | |
| (717) 284-4164 |
| Full Name | Samantha Ouellet |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 203 Commerce Drive, Quarryville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225773260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025619 (Pennsylvania) | Primary |
| Entity Name | Lancaster General Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Ouellet, 203 Commerce Drive, Suite G, Quarryville, PA 17566-9723 Ph: (717) 284-3137 | Samantha Ouellet, 203 Commerce Drive, Suite G, Quarryville, PA 17566-9723 Ph: (717) 284-3137 |
Mrs. Zania Bailey, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Chestnut St, Quarryville, PA 17566 Phone: 717-786-7383 | |
Ellie Zangari, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 317 W Chestnut St, Quarryville, PA 17566 Phone: 717-786-7383 | |
Mrs. Shirley Faye Herr, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 Fawn Dr, Quarryville, PA 17566 Phone: 717-283-3137 |