Dr Susan K Dewyngaert, MD | |
111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 | |
(215) 955-6226 | |
(215) 923-1562 |
Full Name | Dr Susan K Dewyngaert |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 111 S 11th 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 |
---|---|---|---|
1235162421 | NPI | - | NPPES |
001792079 | Medicaid | PA | |
8106703 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD070247L (Pennsylvania) | Primary |
Entity Name | Diagnostic Imaging Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093786410 PECOS PAC ID: 1254231087 Enrollment ID: O20040109000455 |
Entity Name | Jefferson University Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Entity Name | Jefferson University Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578512224 PECOS PAC ID: 7315845708 Enrollment ID: O20070625000322 |
Mailing Address | Practice Location Address |
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Dr Susan K Dewyngaert, MD 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 Ph: () - | Dr Susan K Dewyngaert, MD 111 S 11th St, Suite 3390, Philadelphia, PA 19107-4824 Ph: (215) 955-6226 |
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 |