Susan C Nicolson, MD | |
34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | |
(215) 590-1867 | |
(215) 590-5824 |
Full Name | Susan C Nicolson |
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Gender | Female |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 34th Street & Civic Center Blvd, 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 |
---|---|---|---|
1255344438 | NPI | - | NPPES |
097501EMD | Other | PA | MEDICARE PTAN CCM |
181300EJL | Other | PA | MEDICARE PTAN |
097501J6Z | Other | PA | MEDICARE PTAN PAIN MANAGEMENT |
0009928990 | Medicaid | PA |
Entity Name | Childrens Anesthesiology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032 |
Mailing Address | Practice Location Address |
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Susan C Nicolson, MD 100 E Penn Sq, The Wanamaker Building, 9th Floor, Philadelphia, PA 19107-3323 Ph: (297) 425-9300 | Susan C Nicolson, MD 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 Ph: (215) 590-1867 |
Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310 | |
Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
Monique Lorraine Roberts, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270 | |
Akshat Gargya, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085 | |
Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000 | |
Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 |