Dr Dillard Elmore, DO, MBA | |
280 Middle Holland Rd, Southampton, PA 18966-4822 | |
(516) 410-7720 | |
Not Available |
Full Name | Dr Dillard Elmore |
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Gender | Male |
Speciality | Family Medicine |
Location | 280 Middle Holland Rd, Southampton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841225554 | NPI | - | NPPES |
02807596 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 237999 (New York) | Primary |
Entity Name | Dedicated Pennsylvania Holding Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477053569 PECOS PAC ID: 4688935653 Enrollment ID: O20180308000694 |
Mailing Address | Practice Location Address |
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Dr Dillard Elmore, DO, MBA 280 Middle Holland Rd, Southampton, PA 18966-4822 Ph: (516) 410-7720 | Dr Dillard Elmore, DO, MBA 280 Middle Holland Rd, Southampton, PA 18966-4822 Ph: (516) 410-7720 |
Nataliya Toib, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Lakeside Park, Southampton, PA 18966 Phone: 215-322-1058 | |
David Templeton Reed, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Street Rd, Southampton, PA 18966 Phone: 215-364-4247 | |
Dr. James William Flanagan Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1844 Street Rd, Southampton, PA 18966 Phone: 215-357-4066 Fax: 215-364-2572 | |
Dr. Herbert Secouler, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 501 Street Rd, Suite 100, Southampton, PA 18966 Phone: 215-322-6060 Fax: 215-322-6099 | |
Paul M Izes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 2nd Street Pike, Suite 105, Southampton, PA 18966 Phone: 215-322-5575 | |
Dr. Jessica L Souchet, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1844 Street Rd, Southampton, PA 18966 Phone: 215-357-4066 Fax: 215-364-2572 |