Dr Kiet Vi Thai, MD | |
643 Washington Ave, Philadelphia, PA 19147-4825 | |
(215) 462-1290 | |
(215) 462-1105 |
Full Name | Dr Kiet Vi Thai |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 643 Washington Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750329892 | NPI | - | NPPES |
30001560 | Other | PA | KEYSTONE MERCY |
0099262000 | Other | PA | PA BLUE SHIELD |
01133923-03 | Other | PA | AMERICHOICE |
001133923-0005 | Medicaid | PA | |
32884MD040810L | Other | PA | HEALTH PARTNERS |
3044617 | Other | PA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD040810-L (Pennsylvania) | Primary |
Entity Name | Greater Philadelphia Health Action Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205140902 PECOS PAC ID: 9537064977 Enrollment ID: O20110602000389 |
Mailing Address | Practice Location Address |
---|---|
Dr Kiet Vi Thai, MD 695 Sproul Rd, Bryn Mawr, PA 19010-1112 Ph: (610) 716-1750 | Dr Kiet Vi Thai, MD 643 Washington Ave, Philadelphia, PA 19147-4825 Ph: (215) 462-1290 |
Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800 | |
Brian Lestini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-590-2204 | |
Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831 | |
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795 | |
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810 | |
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000 | |
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220 |