Fred Stutman, MD | |
3501 Newberry Rd, Phila, PA 19154-2608 | |
(215) 632-1400 | |
(215) 632-2176 |
Full Name | Fred Stutman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3501 Newberry Rd, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780660316 | NPI | - | NPPES |
000612309 | Medicaid | PA | |
0047315 | Other | PA | AETNA HMO |
P00208191 | Other | PA | RAILROAD MEDICARE |
597586 | Other | PA | MEDICARE GROUP |
1081468 | Other | PA | KEYSTONE MERCY HEALTH |
714 | Other | PA | BRAVO HEALTH |
0058304000 | Other | PA | INDEPENDENCE BLUE CROSS |
016618 | Other | PA | HIGHMARK BLUE SHIELD |
2Y0397 | Other | PA | HEALTH NET |
4076190 | Other | AETNA PPO | |
P495461 | Other | PA | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD007124E (Pennsylvania) | Primary |
Entity Name | Temple Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942444088 PECOS PAC ID: 2062317233 Enrollment ID: O20040310000054 |
Mailing Address | Practice Location Address |
---|---|
Fred Stutman, MD Po Box 820933, Phila, PA 19182-0933 Ph: (215) 632-1400 | Fred Stutman, MD 3501 Newberry Rd, Phila, PA 19154-2608 Ph: (215) 632-1400 |
John Francis Lozowski, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2923 E Thompson St, Phila, PA 19134 Phone: 215-425-3981 Fax: 215-425-8083 | |
Dr. Wayne Hentschel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2821 Island Ave, Suite 147, Phila, PA 19153 Phone: 212-863-2320 | |
Felix Vershvovsky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 W Girard Ave, Phila, PA 19130 Phone: 215-685-0800 Fax: 215-685-0846 | |
Dr. Philip J. Bell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6445 Vine Street, Phila, PA 19139 Phone: 215-748-0505 Fax: 215-748-4090 | |
Kem Yenal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Frankford Ave, Suite 100a, Phila, PA 19125 Phone: 215-425-2424 Fax: 215-425-0342 | |
Kantilal J. Shah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 N Broad St, Phila, PA 19132 Phone: 215-226-8800 Fax: 215-226-8819 | |
Herman Gottlieb, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6557 Roosevelt Blvd, Phila, PA 19149 Phone: 215-535-1900 Fax: 215-535-7950 |