Mary Katherine Mcgonagle, DO | |
3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073-2329 | |
(800) 257-0117 | |
(610) 550-3079 |
Full Name | Mary Katherine Mcgonagle |
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Gender | Female |
Speciality | Pathology - Dermatopathology |
Location | 3805 W Chester Pike, Newtown Square, 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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1972558781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | OS013614 (Pennsylvania) | Primary |
Entity Name | Baldassano Dermatopathology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427000686 PECOS PAC ID: 7810932985 Enrollment ID: O20050621000205 |
Mailing Address | Practice Location Address |
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Mary Katherine Mcgonagle, DO 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (800) 257-0117 | Mary Katherine Mcgonagle, DO 3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073-2329 Ph: (800) 257-0117 |
Dr. Ann Minehan Ainsworth, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 35 Horseshoe Ln, Newtown Square, PA 19073 Phone: 610-353-8679 | |
Katrin Kiavash, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 Phone: 800-257-0117 | |
Albert A Keshgegian, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 45 Sugar Maple Dr, Newtown Square, PA 19073 Phone: 610-573-3746 | |
Dr. Susanne Nussen Lee, MD Pathology Medicare: Medicare Enrolled Practice Location: 3805 W Chester Pike Bldg D, Suite 120, Newtown Square, PA 19073 Phone: 800-257-0117 Fax: 610-550-3079 | |
Dr. Lawrence David Hall, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3805 W Chester Pike, Bldg D, Suite 120, Newtown Square, PA 19073 Phone: 800-257-0117 Fax: 610-550-3079 | |
Bryan Ebert, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3805 W Chester Pike, Building D, Suite 120, Newtown Square, PA 19073 Phone: 610-550-3000 Fax: 610-550-3079 |