Michelle L Persun, MD | |
1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 | |
(610) 667-3020 | |
(610) 667-1817 |
Full Name | Michelle L Persun |
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Gender | Female |
Speciality | Urology |
Location | 1 Presidential Blvd, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144327255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD073596L (Pennsylvania) | Primary |
Entity Name | My Doctors Live Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144891367 PECOS PAC ID: 1355730524 Enrollment ID: O20211109000772 |
Mailing Address | Practice Location Address |
---|---|
Michelle L Persun, MD 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 Ph: (610) 667-3020 | Michelle L Persun, MD 1 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1017 Ph: (610) 667-3020 |
Leonard Isaac Silverstein, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Oak Hill Rd, Bala Cynwyd, PA 19004 Phone: 610-667-3844 | |
Dr. Samuel J Manfrey, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004 Phone: 610-667-3020 Fax: 610-667-1817 | |
Dr. Laurence H Belkoff, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004 Phone: 610-667-3020 Fax: 610-667-1817 | |
Dr. Paul R Gittens Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Bala Plz, Pl-08, Bala Cynwyd, PA 19004 Phone: 610-668-8300 Fax: 610-668-8304 |