Dr Kelly L Ecker, DO | |
1 Medical Center Blvd, Division Of Neonatology, Upland, PA 19013-3902 | |
(610) 447-6707 | |
(610) 447-6719 |
Full Name | Dr Kelly L Ecker |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1 Medical Center Blvd, Upland, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295870749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | OS015243 (Pennsylvania) | Primary |
208000000X | Pediatrics | H0069767 (Maryland) | Secondary |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
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Dr Kelly L Ecker, DO 1 Medical Center Blvd, Division Of Neonatology, Upland, PA 19013-3902 Ph: (610) 447-6707 | Dr Kelly L Ecker, DO 1 Medical Center Blvd, Division Of Neonatology, Upland, PA 19013-3902 Ph: (610) 447-6707 |
Janisha Patel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Mr. Leamon L. Davenport, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Rita P Nunag, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-490-0925 | |
Dr. Blaze Robert Gusic, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Erin E. Schnepp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 |