| Tatiana Kisluk, DNP | |
|
5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663 | |
| (215) 230-8380 | |
| (215) 230-8370 |
| Full Name | Tatiana Kisluk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 5039 Swamp Rd Ste 401, Fountainville, 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 |
|---|---|---|---|
| 1649673641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4036583 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP014012 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Maine Llc | 1759621469 | 30 |
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Hospital Medicine Services Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538638432 PECOS PAC ID: 1759621469 Enrollment ID: O20190315001380 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana Kisluk, DNP Po Box 417, Fountainville, PA 18923-0417 Ph: (215) 230-8380 | Tatiana Kisluk, DNP 5039 Swamp Rd Ste 401, Fountainville, PA 18923-9663 Ph: (215) 230-8380 |
Mrs. Katherine Marie West Mohr, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 | |
Rachel Im, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5039 Swamp Rd Ste 406, Fountainville, PA 18923 Phone: 267-454-7147 | |
Margaret Welch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 | |
Diane Blackman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd Ste 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370 | |
Tara Lynn Verdolini, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1456 Ferry Road, Suite 600, Fountainville, PA 18923 Phone: 215-230-8390 Fax: 215-230-8392 | |
Rene Curry, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5039 Swamp Rd, Suite 401, Fountainville, PA 18923 Phone: 215-230-8380 Fax: 215-230-8370 |