Peter D Ennis, MD | |
30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | |
(610) 492-5900 | |
(610) 492-5903 |
Full Name | Peter D Ennis |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 31 Years |
Location | 30 Lawrence Rd, Broomall, 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 |
---|---|---|---|
1508893926 | NPI | - | NPPES |
2512918 | Other | PA | AETNA HMO |
7910189 | Other | PA | AETNA TRADITIONAL |
0651758000 | Other | PA | IBC |
779455 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | MD059272L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delaware County Memorial Hospital | Drexel hill, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Crozer Chester Medical Center | Upland, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Consultants In Medical Oncology And Hematology Pc | 2365413127 | 9 |
Entity Name | Consultants In Medical Oncology & Hematology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043265820 PECOS PAC ID: 2365413127 Enrollment ID: O20040804001027 |
Mailing Address | Practice Location Address |
---|---|
Peter D Ennis, MD 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 Ph: (610) 492-5900 | Peter D Ennis, MD 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 Ph: (610) 492-5900 |
Pauline M Samuels, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1999 Sproul Rd Ste 11, Broomall, PA 19008 Phone: 610-394-6666 Fax: 610-394-6667 | |
Dr. Julian L Gladstone, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1999 Sproul Rd, Ste 21, Broomall, PA 19008 Phone: 610-353-6400 Fax: 610-356-1836 | |
John D Sprandio, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 30 Lawrence Rd, Suite 201, Broomall, PA 19008 Phone: 610-492-5900 Fax: 610-492-5810 | |
Walter Kornienko, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 30 Lawrence Rd Ste 800, Broomall, PA 19008 Phone: 610-848-7000 Fax: 610-325-2016 | |
Dr. Larry M Shrager, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2000 Sproul Rd Suite 100, Marple Commons, Broomall, PA 19008 Phone: 610-353-3500 Fax: 610-353-2015 | |
Dr. Margaret Elaine Walker, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2000 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-359-1355 Fax: 610-359-9228 | |
Dr. Laura Kathryn Gallo, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1991 Sproul Rd Ste 625, Broomall, PA 19008 Phone: 610-325-0309 Fax: 610-325-0459 |