Dr Mary Van Den Berg-wolf, MD | |
225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 | |
(215) 503-3838 | |
Not Available |
Full Name | Dr Mary Van Den Berg-wolf |
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Gender | Female |
Speciality | Internal Medicine |
Location | 225 E City Ave, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114915147 | NPI | - | NPPES |
0014457420001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD60806378 (Washington) | Primary |
207R00000X | Internal Medicine | MD025054E (Pennsylvania) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary Van Den Berg-wolf, MD 140 Sw 146th St, Burien, WA 98166-1912 Ph: (206) 630-3000 | Dr Mary Van Den Berg-wolf, MD 225 E City Ave, Suite 109, Bala Cynwyd, PA 19004-1704 Ph: (215) 503-3838 |
Marjorie Friedman, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E City Ave Ste 109, Bala Cynwyd, PA 19004 Phone: 215-503-3838 | |
Dr. Jonathan L. Gelfand, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 Rhyle Ln, Bala Cynwyd, PA 19004 Phone: 215-805-5413 Fax: 610-672-9532 | |
Timothy A Woods, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave, Suite Il -40, Bala Cynwyd, PA 19004 Phone: 610-664-1977 Fax: 610-667-6052 | |
Daniel H. Parish, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Monument Road, Third Floor Suite 301, Bala Cynwyd, PA 19004 Phone: 610-668-2570 Fax: 610-668-2808 | |
Dr. Robert Weiss, M D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Total Access Medical, 191 Presidential Blvd C135, Bala Cynwyd, PA 19004 Phone: 610-667-7203 Fax: 610-667-0447 | |
Alexandra Marie Ristow, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 150 Monument Rd Ste 500, Bala Cynwyd, PA 19004 Phone: 855-478-8208 |