Aita Kai Susi, MD | |
3509 N Broad St, Philadelphia, PA 19140 | |
(215) 707-5437 | |
(215) 707-5180 |
Full Name | Aita Kai Susi |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3509 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336137249 | NPI | - | NPPES |
001548356 | Medicaid | PA | |
340035FPX | Other | PA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD053877L (Pennsylvania) | Primary |
Entity Name | Bedford Somerset Developmental And Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881818672 PECOS PAC ID: 6800834912 Enrollment ID: O20050420000111 |
Entity Name | Psych Choices Of The Delaware Valley, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194213892 PECOS PAC ID: 9133483688 Enrollment ID: O20180509000220 |
Mailing Address | Practice Location Address |
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Aita Kai Susi, MD 3425 N Carlisle St, 2nd Fl Hudson Building, Philadelphia, PA 19140 Ph: (215) 707-4739 | Aita Kai Susi, MD 3509 N Broad St, Philadelphia, PA 19140 Ph: (215) 707-5437 |
Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717 | |
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815 | |
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792 | |
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600 | |
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086 |