| Jefferson Medical Care, Pc | |
|
211 S 9th St Suite 305 Philadelphia PA 19107-6810 | |
| (215) 955-9558 | |
| (215) 955-3920 |
| Full Name | Jefferson Medical Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 S 9th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hristos Ristas (VICE PRESIDENT) |
| Authorized Official Contact | 2159559298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Medical Care, Pc Po Box 828937 Philadelphia PA 19182-8937 Ph: (215) 955-1240 | Jefferson Medical Care, Pc 211 S 9th St Suite 305 Philadelphia PA 19107-6810 Ph: (215) 955-9558 |
| NPI Number | 1164511747 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 0749180545 |
|---|---|
| Medicare Enrollment ID | O20040109000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164511747 | NPI | - | NPPES |
| 0016886700001 | Medicaid | PA |
| Provider Name | Pooja Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871787739 PECOS PAC ID: 6709957731 Enrollment ID: I20080619000258 |
| Provider Name | Birgit Rakel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578584835 PECOS PAC ID: 8224166335 Enrollment ID: I20100511000832 |
| Provider Name | Kenneth Andreoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780778035 PECOS PAC ID: 7618056136 Enrollment ID: I20230331000429 |
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