Laura Douglass, | |
3509 N Broad St, Philadelphia, PA 19140-4105 | |
(215) 707-3375 | |
(215) 707-4758 |
Full Name | Laura Douglass |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 11 Years |
Location | 3509 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902148596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD466826 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
Entity Name | Delta Medix Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396701876 PECOS PAC ID: 0648162636 Enrollment ID: O20040325001062 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
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 |
---|---|
Laura Douglass, 2450 W Hunting Park Ave Fl Tasb3, Philadelphia, PA 19129-1302 Ph: () - | Laura Douglass, 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-3375 |
Joseph Francis Harryhill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Mob Suite 300, Philadelphia, PA 19104 Phone: 215-662-8699 | |
Laura Alexandra Masterson, CRNP Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 | |
Dr. Jessica Pryor, MD Urology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 800-836-7536 | |
Kathleen Hwang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3701 Market St Fl 8, Philadelphia, PA 19104 Phone: 215-662-8699 Fax: 215-243-2060 | |
Patricia Martha Zahner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1015 Chestnut St, Suite 620, Philadelphia, PA 19107 Phone: 215-955-6864 Fax: 215-955-2878 | |
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734 | |
Eugene Jon Pietzak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-5042 |