Kathleen J Reilly, MD | |
3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140-5103 | |
(215) 707-3133 | |
(215) 707-3945 |
Full Name | Kathleen J Reilly |
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Gender | Female |
Speciality | Surgery |
Location | 3401 N Broad 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 |
---|---|---|---|
1669573184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD045245L (Pennsylvania) | Primary |
Entity Name | Temple Faculty Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
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Kathleen J Reilly, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-3133 | Kathleen J Reilly, MD 3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140-5103 Ph: (215) 707-3133 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 | |
Rajeev Prasad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Phone: 215-427-5446 Fax: 215-427-4616 |