Jakub Halicki, MD | |
245 N 15th St, Philadelphia, PA 19102-1198 | |
(215) 762-7916 | |
Not Available |
Full Name | Jakub Halicki |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 6 Years |
Location | 245 N 15th St, Philadelphia, 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 |
---|---|---|---|
1326609264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT219211 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
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 |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
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Jakub Halicki, MD 245 N 15th St, Philadelphia, PA 19102-1101 Ph: () - | Jakub Halicki, MD 245 N 15th St, Philadelphia, PA 19102-1198 Ph: (215) 762-7916 |
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