Dr Mark I Kohn, MD | |
3401 N Broad St, Philadelphia, PA 19140-5103 | |
(215) 707-7237 | |
(215) 707-9389 |
Full Name | Dr Mark I Kohn |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3401 N Broad St, 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 |
---|---|---|---|
1740260017 | NPI | - | NPPES |
MD032981E | Other | PA | HEALTH PARTNERS |
120683 | Other | PA | PHCS |
231955165 | Other | PA | AETNA USHC |
231955165 | Other | PA | INTERGROUP SERVICES |
P00398000 | Other | NJ | RRML |
001114463 | Other | PA | AMERICHOICE OF PA |
0011144630004 | Medicaid | PA | |
1031977 | Other | PA | KEYSTONE MERCY |
512306 | Other | PA | HIGHMARK BLUE SHIELD |
PA7584 | Other | PA | HEALTHNET |
0110323000 | Other | PA | IBC KHPE |
300025834 | Other | PA | RAILROAD MEDICARE |
0127175 | Medicaid | NJ | |
001114463 | Medicaid | PA | |
MD032981E | Other | PA | PA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD032981E (Pennsylvania) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 25MA08164200 (New Jersey) | Secondary |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark I Kohn, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-7237 | Dr Mark I Kohn, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-7237 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627 |