Mr Leon Edward Cushenberry Jr, | |
3535 Market St, Philadelphia, PA 19104 | |
(215) 746-7222 | |
Not Available |
Full Name | Mr Leon Edward Cushenberry Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 10 Years |
Location | 3535 Market St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053669218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD464647 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Delaware County Professional Services, Inc | 2668436692 | 133 |
Eastern Pennsylvania Physician Alliance, Llc | 8325478662 | 90 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Entity Name | Horizon House, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841377611 PECOS PAC ID: 9638163645 Enrollment ID: O20040413000515 |
Entity Name | Delaware County Professional Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952485864 PECOS PAC ID: 2668436692 Enrollment ID: O20041118000546 |
Entity Name | Friends Behavioral Health System, Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023099405 PECOS PAC ID: 6002858891 Enrollment ID: O20060822000480 |
Entity Name | Eastern Pennsylvania Physician Alliance, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902440621 PECOS PAC ID: 8325478662 Enrollment ID: O20200428001935 |
Mailing Address | Practice Location Address |
---|---|
Mr Leon Edward Cushenberry Jr, 3535 Market St, Philadelphia, PA 19104-3309 Ph: (215) 386-3838 | Mr Leon Edward Cushenberry Jr, 3535 Market St, Philadelphia, PA 19104 Ph: (215) 746-7222 |
Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717 | |
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815 | |
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792 | |
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600 | |
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086 |