Marnetta S Bradford
INTERMOUNTAIN MEDICAL GROUP INC


Address: 665 Carey Ave, Hanover Township, PA 18706-5466
Phone: 5708265038

Marnetta S Bradford (NPI# 1811000821, PAC ID# 3072552611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1811000821
PAC ID by PECOS 3072552611
Professional Enrollment ID I20050503000361
Full Name Marnetta S Bradford
Organization Legal Name INTERMOUNTAIN MEDICAL GROUP INC
Address 665 Carey Ave
Hanover Township
PA 18706-5466
Phone Number 5708265038
Gender F
Credential NP
Graduation Year 1997
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7810894987
Number of Group Practice Members 73
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390137 WILKES-BARRE GENERAL HOSPITAL

Other Locations

Address Phone Organization
665 Carey Ave, Hanover Township, PA 18706-5466 5708265038 INTERMOUNTAIN MEDICAL GROUP INC

Organization Information

Organization Legal Name INTERMOUNTAIN MEDICAL GROUP INC
Physicians 69

Physicians with the same organization

Name Specialty Organization Address
Daniel Rittenberg Urology Intermountain Medical Group Inc 423 3rd Ave, Suite B, Kingston, PA 18704-5809
Tarah Zajaczkowski Physician Assistant Intermountain Medical Group Inc 16 Luzerne Ave, Suite 125, West Pittston, PA 18643-2817
Kelly Sabaluski Nurse Practitioner Intermountain Medical Group Inc 445 Wyoming Ave, Kingston, PA 18704-3601
Kelly Babinski Nurse Practitioner Intermountain Medical Group Inc 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1638
Kevin K Musto Internal Medicine Intermountain Medical Group Inc 901 Wyoming Ave, West Pittston, PA 18643-2742
Fred Usoh Anesthesiology Intermountain Medical Group Inc 468 Northampton St, Kingston, PA 18704-4566
Kimberly T Serine Physician Assistant Intermountain Medical Group Inc 1099 S Township Blvd, Pittston, PA 18640-3247
Noelle Altavilla Registered Dietitian Or Nutrition Professional Intermountain Medical Group Inc 2 Poplar St, Kingston, PA 18704-3709
Kamlesh R Patel Internal Medicine Intermountain Medical Group Inc 500 Scott St, Wilkes Barre, PA 18702-5616
Daniel J Dudrick Family Medicine Intermountain Medical Group Inc 610 Wyoming Ave, Suite 2, Kingston, PA 18704-3702

Office Location

Street Address 665 CAREY AVE
City HANOVER TOWNSHIP
State PA
Zip 18706-5466

Physicians in the same zip code

Name Specialty Organization Address
Joseph Janowski Chiropractic Janowski Family Chiropractic Inc 18 N Main St, Ashley, PA 18706-2246
Mary Beth Eckrote Frye Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Alexandra Morris Psychologist, Clinical Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Janice Wiles Judge Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Julieann Falteich Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Rosemary Gallagher Ostrosky Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Kathryn Eschbach Huff Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Alan S Kurlansky Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Neil Donahue Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
John Rehill Clinical Social Worker Professional Development Services Inc 5 Pfouts St, Hanover Township, PA 18706-3116
Find all physicians in zip 18706

Competitor

Search similar physicians

City HANOVER TOWNSHIP
Zip Code 18706
Specialty NURSE PRACTITIONER
City + Specialty HANOVER TOWNSHIP + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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