Dr Kerry Michael Ross, MD | |
1 Medical Center Blvd, Suite 241, Chester, PA 19013-3902 | |
(610) 619-7400 | |
(610) 872-4015 |
Full Name | Dr Kerry Michael Ross |
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Gender | Male |
Speciality | Surgery |
Location | 1 Medical Center Blvd, Chester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275662041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | C1-0007951 (Delaware) | Secondary |
208600000X | Surgery | MD435518 (Pennsylvania) | Primary |
Entity Name | Salem Physician Practices Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245705128 PECOS PAC ID: 3476892050 Enrollment ID: O20190226000892 |
Mailing Address | Practice Location Address |
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Dr Kerry Michael Ross, MD 1 Medical Center Blvd, Suite 241, Chester, PA 19013-3902 Ph: (610) 619-7400 | Dr Kerry Michael Ross, MD 1 Medical Center Blvd, Suite 241, Chester, PA 19013-3902 Ph: (610) 619-7400 |
Jandie Posner, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 | |
Sergey Zhitnikov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Acp 11, Suite 326, Chester, PA 19013 Phone: 610-619-8450 Fax: 610-619-8451 | |
Victoria Kim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 | |
Mary Lou Patton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Blvd, Suite 241, Chester, PA 19013 Phone: 610-619-7400 Fax: 610-872-4015 | |
Alan M Graham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Vivacqua Pavilion, Suite 233, Chester, PA 19013 Phone: 610-499-0400 Fax: 610-499-1970 | |
Fatima Mohammad Nabi Tik Mohammad, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Chester, PA 19013 Phone: 610-447-2000 |