| Willie Mae Waters, | |
|
1700 St Lukes Blvd Ste 200, Easton, PA 18045-5670 | |
| (484) 526-7246 | |
| (866) 291-6192 |
| Full Name | Willie Mae Waters |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1700 St Lukes Blvd Ste 200, Easton, Pennsylvania |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770122772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | SP021320 (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ01285800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ars Treatment Centers Pc | 0042568131 | 89 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Onsight Health Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508097411 PECOS PAC ID: 0840338059 Enrollment ID: O20091109000513 |
| Entity Name | Ars Treatment Centers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Mae Waters, 1700 St Lukes Blvd Ste 200, Easton, PA 18045-5670 Ph: (484) 526-7246 | Willie Mae Waters, 1700 St Lukes Blvd Ste 200, Easton, PA 18045-5670 Ph: (484) 526-7246 |
Tyler Mclean, CRNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd, Easton, PA 18045 Phone: 484-591-7205 | |
Mrs. Elizabeth Renee Hill, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537 | |
Kyle Latourette, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 St Lukes Blvd, Easton, PA 18045 Phone: 484-503-4673 | |
Jamila Gummo, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2884 Hodle Ave, Easton, PA 18045 Phone: 161-078-1981 | |
Nichole Padron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 3rd St, 2nd Floor, Easton, PA 18042 Phone: 484-503-8010 | |
Amanda Alicia Johns, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd Ste 10, Easton, PA 18045 Phone: 484-591-7205 | |
Mrs. Bianca Nicole Cardeiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537 |