Dr Christie O Mousaw, DO | |
300 Evergreen Dr, Suite 310, Glen Mills, PA 19342-1059 | |
(610) 579-3564 | |
(610) 579-3566 |
Full Name | Dr Christie O Mousaw |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 300 Evergreen Dr, Glen Mills, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265539050 | NPI | - | NPPES |
101720742 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS 012760 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
Main Line Health Homecare & Hospice - Hospice | Radnor, PA | Hospice |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Crozer Chester Medical Center | Upland, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Christie O Mousaw, DO 300 Evergreen Dr, Suite 310, Glen Mills, PA 19342-1059 Ph: (610) 579-3555 | Dr Christie O Mousaw, DO 300 Evergreen Dr, Suite 310, Glen Mills, PA 19342-1059 Ph: (610) 579-3564 |
Nicholas A Giuliani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Baltimore Pike, Suite 100, Glen Mills, PA 19342 Phone: 484-227-7790 Fax: 484-227-7791 | |
John Richard Luksch, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Evergreen Dr Ste 201, Glen Mills, PA 19342 Phone: 267-339-3558 Fax: 267-339-3763 | |
Dr. Michael Benjamin Kuczmarski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Maris Grove Way, Glen Mills, PA 19342 Phone: 610-387-4520 Fax: 610-387-4526 | |
Dr. Robert P. Denitzio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 Baltimore Pike Ste 100, Glen Mills, PA 19342 Phone: 484-227-7858 | |
Dr. Michael A Krafchick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Suite 1500, Glen Mills, PA 19342 Phone: 610-579-3444 Fax: 610-579-3449 | |
Dr. Joshua B Feinberg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Glen Mills, PA 19342 Phone: 610-579-3480 Fax: 610-579-3485 |