Jason M Komasz, MD | |
260 New York Dr, Fort Washington, PA 19034-2504 | |
(215) 643-7331 | |
(215) 654-0741 |
Full Name | Jason M Komasz |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 260 New York Dr, Fort Washington, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952374746 | NPI | - | NPPES |
001849752 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD071900L (Pennsylvania) | Primary |
Entity Name | Via Affiliates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104 |
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 |
---|---|
Jason M Komasz, MD 595 W State St, 505, Doylestown, PA 18901-2554 Ph: (215) 933-0259 | Jason M Komasz, MD 260 New York Dr, Fort Washington, PA 19034-2504 Ph: (215) 643-7331 |
Elizabeth N Lawhorn, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Ste 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 | |
Evangeline Grover, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 | |
Susan Fellheimer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 New York Drive, Fort Washington, PA 19034 Phone: 215-643-7331 Fax: 215-654-0741 | |
Bruce Evan Lockman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-646-6868 Fax: 215-646-4422 | |
Maureen Caulfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 Prospect Ave, Fort Washington, PA 19034 Phone: 215-591-3767 | |
Andrew Lubell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 |