| Stacy Kowalczyk, CRNP | |
|
339 W Spring St, Suite 102, Titusville, PA 16354-1655 | |
| (814) 827-9675 | |
| Not Available |
| Full Name | Stacy Kowalczyk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 339 W Spring St, Titusville, 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 |
|---|---|---|---|
| 1326077637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | TP005917B (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Titusville Hospital | Titusville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keystone Rehabilitation Systems Inc | 7012826753 | 609 |
| Titusville Area Hospital | 8022907575 | 67 |
| Entity Name | Oil Valley Internal Medicine Associates Pc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598871550 PECOS PAC ID: 1850363177 Enrollment ID: O20040809000173 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1740774207 PECOS PAC ID: 8022907575 Enrollment ID: O20181219001350 |
| Entity Name | Titusville Area Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760976336 PECOS PAC ID: 8022907575 Enrollment ID: O20181220000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Kowalczyk, CRNP 12053 Campbell Rd, Titusville, PA 16354-5621 Ph: (814) 827-8829 | Stacy Kowalczyk, CRNP 339 W Spring St, Suite 102, Titusville, PA 16354-1655 Ph: (814) 827-9675 |
Mrs. Heidi Rae Gaddess, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 W Spring St, Suite 102, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-0216 | |
Mckenna Jaclyn Cole, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 339 W Spring St, Titusville, PA 16354 Phone: 814-827-9675 Fax: 814-827-4750 | |
Brianne Wakefield, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-9770 | |
Brandi Hudson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 | |
Deborah A. Martin, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 S Martin St, Titusville, PA 16354 Phone: 814-827-8400 Fax: 814-827-8405 | |
Kim M Combs, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Oak St, Titusville, PA 16354 Phone: 814-827-1852 |