Phillip Liu, DO | |
100 E Lancaster Ave, Wynnewood, PA 19096-3450 | |
(484) 476-2000 | |
Not Available |
Full Name | Phillip Liu |
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Gender | Male |
Speciality | Hospitalist |
Location | 100 E Lancaster Ave, Wynnewood, 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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1316444623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | OS022232 (Pennsylvania) | Primary |
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Entity Name | Trinity Health Mid-atlantic Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
Entity Name | Nazareth Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285150458 PECOS PAC ID: 0941229017 Enrollment ID: O20171026001610 |
Mailing Address | Practice Location Address |
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Phillip Liu, DO 111 Pensdale St, Philadelphia, PA 19127-2101 Ph: (224) 234-4347 | Phillip Liu, DO 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (484) 476-2000 |
Samuel Laiacona, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 Phone: 484-476-2658 | |
Anne Marie Boguslavsky, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-6421 | |
Tanu Priya Verma, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 43034, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149 | |
Samantha Renee Watts, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-6421 | |
Dr. Elie Fares, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Dr. Jennifer Lee Nansteel, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 4303, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149 |