Dr Nicholas Anthony Busillo Sr, MD | |
3030 Garrett Rd, Drexel Hill, PA 19026-2217 | |
(610) 622-7933 | |
(610) 622-7937 |
Full Name | Dr Nicholas Anthony Busillo Sr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 46 Years |
Location | 3030 Garrett Rd, Drexel Hill, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548217003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD022593-E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
Crozer Keystone Home Health | Springfield, PA | Home health agency |
Delaware County Memorial Hospital | Drexel hill, PA | Hospital |
Crozer Chester Medical Center | Upland, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prospect Health Access Network Inc | 5698065142 | 206 |
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 |
---|---|
Dr Nicholas Anthony Busillo Sr, MD 3030 Garrett Rd, Drexel Hill, PA 19026-2217 Ph: (610) 622-7933 | Dr Nicholas Anthony Busillo Sr, MD 3030 Garrett Rd, Drexel Hill, PA 19026-2217 Ph: (610) 622-7933 |
Robert Marvin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Keystone Ave, Suite 200, Drexel Hill, PA 19026 Phone: 610-259-0240 Fax: 610-259-0606 | |
Dr. David L Furman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Keystone Ave, Mob Suite 406, Drexel Hill, PA 19026 Phone: 610-619-7475 Fax: 610-619-7477 | |
Moon Ja Suh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2929 Garrett Rd, Drexel Hill, PA 19026 Phone: 610-626-3444 Fax: 610-626-4421 | |
Dr. Jackeline Iacovella, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2100 Keystone Ave, Suite 406, Drexel Hill, PA 19026 Phone: 610-622-8900 Fax: 610-622-8904 | |
Robert Furia, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3030 Garrett Rd, Drexel Hill, PA 19026 Phone: 610-626-0940 Fax: 610-626-7140 | |
Orlando Gomez, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 49-4 Revere Rd, Drexel Hill, PA 19026 Phone: 215-620-6487 | |
Dr. Wilfredo Siy Lukban, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 N Lansdowne Ave, Drexel Hill, PA 19026 Phone: 610-284-8100 Fax: 610-284-8993 |