Richard G Mccollum Jr, MD | |
3998 Red Lion Rd, Emergency Department, Philadelphia, PA 19114-1436 | |
(215) 612-4000 | |
(215) 807-8235 |
Full Name | Richard G Mccollum Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3998 Red Lion Rd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659302289 | NPI | - | NPPES |
101701845-01 | Other | PA | AMERICHOICE -FT |
1017018450002 | Medicaid | PA | |
1017018450003 | Medicaid | PA | |
1882159 | Other | PA | HIGHMARK BLUE SHIELD |
274408400 | Other | PA | KEYSTONE, IBC |
101701845-02 | Other | PA | AMERICHOICE FF |
101701845-03 | Other | PA | AMERICHOICE - FB |
07645 | Other | PA | HEALTH PARTNERS |
1882159 | Other | PA | PERSONAL CHOICE |
30034608 | Other | PA | KEYSTONE MERCY |
024508 | Medicaid | OR | |
1017018450001 | Medicaid | PA |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
Mailing Address | Practice Location Address |
---|---|
Richard G Mccollum Jr, MD Po Box 8500-6335, Philadelphia, PA 19178-0001 Ph: (215) 807-8166 | Richard G Mccollum Jr, MD 3998 Red Lion Rd, Emergency Department, Philadelphia, PA 19114-1436 Ph: (215) 612-4000 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161 | |
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890 |