Daniel Thomes-klug, DO | |
2601 Holme Ave, Philadelphia, PA 19152-2007 | |
(215) 335-6562 | |
Not Available |
Full Name | Daniel Thomes-klug |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 6 Years |
Location | 2601 Holme Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962906503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS021874 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | OS021874 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nazareth Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nazareth Physician Services, Inc. | 0941229017 | 54 |
Trinity Health Mid-atlantic Medical Group | 7416861885 | 333 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Entity Name | Trinity Health Mid-atlantic Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
Entity Name | Nazareth Physician Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285150458 PECOS PAC ID: 0941229017 Enrollment ID: O20171026001610 |
Mailing Address | Practice Location Address |
---|---|
Daniel Thomes-klug, DO 4190 City Ave, Philadelphia, PA 19131-1626 Ph: (609) 553-7773 | Daniel Thomes-klug, DO 2601 Holme Ave, Philadelphia, PA 19152-2007 Ph: (215) 335-6562 |
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