Dr Allison S Fanelli, DO | |
789 E. Lancaster Ave., Suite 10, Villanova, PA 19085-1522 | |
(484) 381-4010 | |
(484) 381-4020 |
Full Name | Dr Allison S Fanelli |
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Gender | Female |
Speciality | Pediatrics |
Location | 789 E. Lancaster Ave., Villanova, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326006636 | NPI | - | NPPES |
102999050 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB07748900 (New Jersey) | Secondary |
208000000X | Pediatrics | OS013287 (Pennsylvania) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902959653 PECOS PAC ID: 9537072483 Enrollment ID: O20040204000144 |
Mailing Address | Practice Location Address |
---|---|
Dr Allison S Fanelli, DO P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Dr Allison S Fanelli, DO 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085-1522 Ph: (484) 381-4010 |
Dr. John Goldener, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 217 Radnor Chester Rd, Villanova, PA 19085 Phone: 610-525-5200 | |
Samuel Shaw Fager, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1415 Old Gulph Rd, Villanova, PA 19085 Phone: 610-520-0246 Fax: 610-525-3737 | |
Dr. Lauren Ann Kostelnik, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 E Lancaster Ave Ste 10, Villanova, PA 19085 Phone: 484-381-4010 | |
Dr. Gity Banan Etemad, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Wistar Rd, Villanova, PA 19085 Phone: 484-433-2339 |