| William Mark Sutherland, MSN, CRNP | |
| 
					700 Quincy Ave, Moses Taylor Hospital Emergency Department, Scranton, PA 18510-1724  | |
| (570) 340-2900 | |
| Not Available | 
| Full Name | William Mark Sutherland | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Acute Care | 
| 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 | 
|---|---|---|---|
| 1336237593 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | TP004895M (Pennsylvania) | Primary | 
| Entity Name | Pennsylvania Physician Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343  | 
| Mailing Address | Practice Location Address | 
|---|---|
| William Mark Sutherland, MSN, CRNP 51 Kingswood Dr, Dallas, PA 18612-1422 Ph: (570) 675-2784  | William Mark Sutherland, MSN, CRNP 700 Quincy Ave, Moses Taylor Hospital Emergency Department, Scranton, PA 18510-1724 Ph: (570) 340-2900  | 
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  |