Mario Anthony Ercole, MD | |
212 High St, Suite 103, Pottstown, PA 19464 | |
(610) 326-9250 | |
(610) 327-3926 |
Full Name | Mario Anthony Ercole |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 212 High St, Pottstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891891008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD018415E (Pennsylvania) | Primary |
Entity Name | Creative Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124194121 PECOS PAC ID: 2365340528 Enrollment ID: O20040109000892 |
Mailing Address | Practice Location Address |
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Mario Anthony Ercole, MD 212 High St, Suite 103, Pottstown, PA 19464 Ph: (484) 941-0500 | Mario Anthony Ercole, MD 212 High St, Suite 103, Pottstown, PA 19464 Ph: (610) 326-9250 |
Barbara Lynn Gross, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 634 King St, Pottstown, PA 19464 Phone: 610-323-8866 Fax: 610-323-1406 | |
Syed H Viqar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11 Robinson St, Pottstown, PA 19464 Phone: 610-326-9250 Fax: 610-327-8726 | |
Dr. Peyman Khoshgavar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 361 E High St, Creative Health, Pottstown, PA 19464 Phone: 610-326-9250 | |
Yong Shik Shin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1630 E High St Bldg 4, Pottstown, PA 19464 Phone: 610-327-1631 Fax: 610-327-1199 |