Lori A Depersia, MD | |
1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001 | |
(215) 938-3467 | |
(215) 938-3474 |
Full Name | Lori A Depersia |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 43 Years |
Location | 1648 Huntingdon Pike, Meadowbrook, 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 |
---|---|---|---|
1295727352 | NPI | - | NPPES |
0073256900006 | Medicaid | PA | |
007325269 | Medicaid | PA | |
2210703 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD029084E (Pennsylvania) | Primary |
2085N0700X | Radiology - Neuroradiology | MD029084E (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Inspira Medical Center Vineland | Vineland, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regional Diagnostic Imaging Llc | 3779593470 | 26 |
Entity Name | Atlantic Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Radiology Associates Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659390870 PECOS PAC ID: 8820027634 Enrollment ID: O20050811000306 |
Entity Name | Regional Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972575892 PECOS PAC ID: 3779593470 Enrollment ID: O20060426000029 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Entity Name | Garden State Radiology Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487056768 PECOS PAC ID: 3870815244 Enrollment ID: O20141215000979 |
Mailing Address | Practice Location Address |
---|---|
Lori A Depersia, MD 1001 Briggs Rd, Suite 210, Mount Laurel, NJ 08054-4100 Ph: (856) 231-4774 | Lori A Depersia, MD 1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046-8001 Ph: (215) 938-3467 |
Jonathan M Cantalino, DO Radiology Medicare: Medicare Enrolled Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-938-3555 | |
Lawrence M Wald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Attn: Radiology, Meadowbrook, PA 19046 Phone: 215-612-2610 Fax: 215-612-5077 | |
Howard B. Kessler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Radiology Department, Meadowbrook, PA 19046 Phone: 215-938-3467 Fax: 215-938-3474 | |
Sean Blake Reiter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Attn: Radiology, Meadowbrook, PA 19046 Phone: 215-612-2610 Fax: 215-612-5077 | |
Linda Anne Kloss, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Attn: Radiology, Meadowbrook, PA 19046 Phone: 602-910-6887 Fax: 215-612-5077 | |
Andrew Benjamin Hollander, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Bott Cancer Center, Meadowbrook, PA 19046 Phone: 215-938-3555 Fax: 215-938-3547 |