| Stephanie Lilly, CRNP | |
|
3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 | |
| (570) 574-4611 | |
| Not Available |
| Full Name | Stephanie Lilly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3901 Bear Creek Blvd, Bear Creek Township, 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 |
|---|---|---|---|
| 1285101592 | NPI | - | NPPES |
| 103612815-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN587980 (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP019836 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schuylkill Medical Center - South Jackson Street | Pottsville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lehigh Valley Physician Group | 3072425123 | 2138 |
| Nepa Vascular Llc | 3779921358 | 3 |
| 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 | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588603567 PECOS PAC ID: 0840285532 Enrollment ID: O20040420001197 |
| Entity Name | Scot R Mckenna Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154409472 PECOS PAC ID: 6709884323 Enrollment ID: O20061115000137 |
| Entity Name | Medical Center Of Northeastern Pa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063715639 PECOS PAC ID: 1951579762 Enrollment ID: O20110721000872 |
| Entity Name | Nepa Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679338685 PECOS PAC ID: 3779921358 Enrollment ID: O20240402000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lilly, CRNP 3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 Ph: (570) 574-4611 | Stephanie Lilly, CRNP 3901 Bear Creek Blvd, Bear Creek Township, PA 18702-9752 Ph: (570) 574-4611 |