| Susan Bridget Favorite, CRNA | |
|
169 Martin Ave, Ephrata, PA 17522-1724 | |
| (717) 738-6618 | |
| Not Available |
| Full Name | Susan Bridget Favorite |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 169 Martin Ave, Ephrata, 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 |
|---|---|---|---|
| 1487743464 | NPI | - | NPPES |
| RN302905L | Other | PA | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 071093 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magee Womens Hospital Of Upmc Health System | Pittsburgh, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Pittsburgh Physicians | 8729990239 | 3868 |
| Entity Name | University Of Pittsburgh Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Bridget Favorite, CRNA 220 E 2nd Ave, Lititz, PA 17543-2024 Ph: (717) 627-4431 | Susan Bridget Favorite, CRNA 169 Martin Ave, Ephrata, PA 17522-1724 Ph: (717) 738-6618 |
Larry Dean Mellott, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6618 Fax: 717-738-6646 | |
Michele Deiterich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Mr. Jason Michael Dulimba, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Brian Vells, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Po Box 1002, Ephrata, PA 17522 Phone: 717-738-6618 Fax: 717-738-6646 | |
Ms. Raquel Vanessa Wiker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Steven C Vandevander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Mrs. Kathleen Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 |