| Timothy Ray Peace Jr, MSN, CRNP, FNP-C | |
|
422 Merchant St, Ambridge, PA 15003-2405 | |
| (724) 318-8793 | |
| (724) 385-0278 |
| Full Name | Timothy Ray Peace Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 422 Merchant St, Ambridge, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245843184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP022406 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Five Star Medical Services Llc | 0244508786 | 2 |
| Beaver County Pathways Llc | 9537404413 | 4 |
| Entity Name | Five Star Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144755000 PECOS PAC ID: 0244508786 Enrollment ID: O20170624000233 |
| Entity Name | Beaver County Pathways Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184071193 PECOS PAC ID: 9537404413 Enrollment ID: O20181220002648 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Ray Peace Jr, MSN, CRNP, FNP-C 6 Leet St, Sewickley, PA 15143-8736 Ph: (724) 681-9729 | Timothy Ray Peace Jr, MSN, CRNP, FNP-C 422 Merchant St, Ambridge, PA 15003-2405 Ph: (724) 318-8793 |
Dr. Michael Aron Dixon, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 Kennedy Dr, Ambridge, PA 15003 Phone: 724-385-0588 | |
Bethany Noelle Porter, PMHNP-DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Beaver St, Ambridge, PA 15003 Phone: 412-347-1978 | |
Elizabeth Mcgee Klixbull, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1098 Kennedy Dr, Ambridge, PA 15003 Phone: 724-385-0588 |