| Mrs Tracy Whitman, CPNP | |
| 
					700 Quincy Ave, Scranton, PA 18510-1724  | |
| (866) 519-0457 | |
| (570) 770-5263 | 
| Full Name | Mrs Tracy Whitman | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 700 Quincy Ave, Scranton, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437715281 | NPI | - | NPPES | 
| 1036780850001 | Medicaid | PA | |
| 1036780850002 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | SP019789 (Pennsylvania) | Secondary | 
| 363LP0200X | Nurse Practitioner - Pediatrics | SP019920 (Pennsylvania) | Primary | 
| Entity Name | Geisinger Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518  | 
| Entity Name | Scranton Quincy Clinic Company Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tracy Whitman, CPNP 5 Alpha Ct, Scranton, PA 18508-1603 Ph: (570) 840-1365  | Mrs Tracy Whitman, CPNP 700 Quincy Ave, Scranton, PA 18510-1724 Ph: (866) 519-0457  | 
Kelly Babinski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 W Olive St, Scranton, PA 18508 Phone: 570-558-2140 Fax: 570-558-2141  | |
Chelsea Lynn Erie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-4954 Fax: 570-703-4579  | |
Jordyn D Noullet, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8231 Fax: 570-703-8250  | |
Michelle M Mack, DNP, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-0161 Fax: 570-969-0163  | |
Casey Jeanne Hughes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-470-2591  | |
Emily Yestrepsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000  | |
Judith Emily Rogers, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7100  |