Jacquelyn R Evans, MD | |
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neonatology, Philadelphia, PA 19104-4319 | |
(215) 590-1944 | |
(215) 590-4454 |
Full Name | Jacquelyn R Evans |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 3401 Civic Center Blvd, 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 |
---|---|---|---|
1043255334 | NPI | - | NPPES |
6337007 | Medicaid | NJ | |
0014807880003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD053430L (Pennsylvania) | Primary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Mailing Address | Practice Location Address |
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Jacquelyn R Evans, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9234 | Jacquelyn R Evans, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Neonatology, Philadelphia, PA 19104-4319 Ph: (215) 590-1944 |
Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800 | |
Brian Lestini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-590-2204 | |
Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831 | |
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795 | |
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810 | |
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000 | |
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220 |