Mr Alexander Pavlo, | |
2506 N Broad St, Colmar, PA 18915-9439 | |
(215) 716-9029 | |
(215) 716-9038 |
Full Name | Mr Alexander Pavlo |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2506 N Broad St, Colmar, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053047704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW22847 (Pennsylvania) | Primary |
Entity Name | Merakey Montgomery County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972727139 PECOS PAC ID: 8426942186 Enrollment ID: O20040212000301 |
Mailing Address | Practice Location Address |
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Mr Alexander Pavlo, 607 Highpointe Cir, Langhorne, PA 19047-5160 Ph: (267) 615-6014 | Mr Alexander Pavlo, 2506 N Broad St, Colmar, PA 18915-9439 Ph: (215) 716-9029 |
Christine Matthews, LSW MBA CLC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2303 N Broad St Ste 4, Colmar, PA 18915 Phone: 267-642-1470 Fax: 215-565-2581 | |
Mr. James E Veverka, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2321 N Broad St, Colmar, PA 18915 Phone: 215-997-3600 Fax: 215-997-9409 | |
Pascalina Delmas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2303 N Broad St Ste 4, Colmar, PA 18915 Phone: 215-801-6579 |