Brenda Kauffman Kozak (NPI# 1477508075, PAC ID# 4385656644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477508075 |
| PAC ID by PECOS | 4385656644 |
| Professional Enrollment ID | I20060705000061 |
| Full Name | Brenda Kauffman Kozak |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Address |
2605 Keiser Blvd Wyomissing PA 19610-3338 |
| Phone Number | 6706858500 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729351077 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390096 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 6706858500 | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Organization Legal Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Physicians | 143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian K Derr | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2605 Willow St Pike, Penn State Med Grp South Lancaster, Willow Street, PA 17584-9510 |
| Alison Anna Platt | Gastroenterology | Penn State Health Community Medical Group, LLC | 1421 Fishburn Rd, Hershey, PA 17033-9795 |
| Julie C Machado | Internal Medicine | Penn State Health Community Medical Group, LLC | 320 S Market St, Manor Htlcare and Rehabilit, Elizabethtown, PA 17022-2422 |
| Lauren A Myer | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 29 Eastbrook Rd, Penn State Med Grp Eastbrook, Ronks, PA 17572-9769 |
| Kathleen E Yesavage | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 3912 Trindle Rd, Camp Hill, PA 17011-4246 |
| Robert Martin | Interventional Pain Management | Penn State Health Community Medical Group, LLC | 2301 Columbia Ave, Lancaster, PA 17603-4154 |
| Danielle J Miller | Family Medicine | Penn State Health Community Medical Group, LLC | 1120 Cocoa Ave, Hershey, PA 17033-1712 |
| Scott R Mann | Family Medicine | Penn State Health Community Medical Group, LLC | 80 Wyntre Brooke Dr, Penn State Med Grp White Rose, York, PA 17403-4535 |
| Frank E Politzer | Interventional Cardiology | Penn State Health Community Medical Group, LLC | One Norwegian Plaza, 302 Penn State Health Medical Group Berks Cardiology, Pottsville, PA 17901 |
| Sarah R White | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2221 Noll Dr, Suite 2000, Lancaster, PA 17603-7610 |
| Street Address |
2605 KEISER BLVD |
| City | WYOMISSING |
| State | PA |
| Zip | 19610-3338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Miller | Nurse Practitioner | Penn State Health Community Medical Group, LLC | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 |
| Deborah Broadway Schultz | Nurse Practitioner | Berks Cardiologists Ltd | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 |
| Gary M Lattin | Internal Medicine | Berks Cardiologists Ltd | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Somkiat Hemtasilpa | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Hai-ping Mei | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Dilip K Jindal | Hospitalist | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Anne M Rohrbach | Hospitalist | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| William N Gleason | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Jung Sun Yoo | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Brian L Fellechner | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Gregory Mokrynski | Hospitalist | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Sanghoon Kim | Physical Medicine and Rehabilitation | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Elizabeth A Dohan | Hospitalist | Tower Health Medical Group | 2802 Papermill Rd, Wyomissing, PA 19610-1065 |
| Find all physicians in zip 19610 | |||
| City | WYOMISSING |
| Zip Code | 19610 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WYOMISSING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenda Kauffman Kozak.
| 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.