Dr Stephan Harris Whitenack, MD | |
5401 Old York Rd, Klein 101, Philadelphia, PA 19141-3030 | |
(215) 456-6178 | |
(215) 456-6204 |
Full Name | Dr Stephan Harris Whitenack |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 5401 Old York Rd, 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 |
---|---|---|---|
1538127907 | NPI | - | NPPES |
0006557540001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD016782E (Pennsylvania) | Secondary |
2086S0129X | Surgery - Vascular Surgery | MD016782E (Pennsylvania) | Primary |
Entity Name | Einstein Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Mailing Address | Practice Location Address |
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Dr Stephan Harris Whitenack, MD Po Box 8500-8735, Philadelphia, PA 19178-8735 Ph: (215) 456-7000 | Dr Stephan Harris Whitenack, MD 5401 Old York Rd, Klein 101, Philadelphia, PA 19141-3030 Ph: (215) 456-6178 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 | |
Rajeev Prasad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Phone: 215-427-5446 Fax: 215-427-4616 |