Jack Michael Becker, MD | |
233 E Lancaster Ave Ste 200, Ardmore, PA 19003 | |
(610) 642-1643 | |
Not Available |
Full Name | Jack Michael Becker |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 38 Years |
Location | 233 E Lancaster Ave Ste 200, Ardmore, 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 |
---|---|---|---|
1851349955 | NPI | - | NPPES |
001252808 | Medicaid | PA | |
673732 | Other | PA | HIGHMARK PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | MDO42717E (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Allergy , L.l.p. | 0941284301 | 5 |
Entity Name | Main Line Allergy , L.l.p. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437104460 PECOS PAC ID: 0941284301 Enrollment ID: O20040615000491 |
Entity Name | Stc Pediatrics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
---|---|
Jack Michael Becker, MD Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324 | Jack Michael Becker, MD 233 E Lancaster Ave Ste 200, Ardmore, PA 19003 Ph: (610) 642-1643 |
Dr. Sharon K Sweinberg, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 233 E Lancaster Ave, Suite 200, Ardmore, PA 19003 Phone: 610-642-1643 Fax: 610-642-0245 | |
Dr. Ruthven A. Wodell, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 233 E Lancaster Ave, Suite200, Ardmore, PA 19003 Phone: 610-642-1643 Fax: 610-642-0245 | |
A. Geoffrey Didario, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 233 E Lancaster Ave, Suite 200, Ardmore, PA 19003 Phone: 610-642-1643 Fax: 610-642-0245 | |
Dr. Jennifer Anita Kannan, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 233 E Lancaster Ave Ste 220, Ardmore, PA 19003 Phone: 610-642-1643 | |
Dr. Marc D Cotler, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 233 E Lancaster Ave, Suite 300, Ardmore, PA 19003 Phone: 610-642-3884 Fax: 610-642-3885 |