| Dr Warren E Smith Health Centers Wes Health Centers | |
|
1315 Windrim Avenue Philadelphia PA 19141-2710 | |
| (215) 456-2611 | |
| (215) 456-2729 |
| Full Name | Dr Warren E Smith Health Centers Wes Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1315 Windrim Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kenneth Glass (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2672560636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Warren E Smith Health Centers Wes Health Centers 1315 Windrim Avenue Dr Warren E Smith Health Centers Philadelphia PA 19141-2710 Ph: (215) 456-2611 | Dr Warren E Smith Health Centers Wes Health Centers 1315 Windrim Avenue Philadelphia PA 19141-2710 Ph: (215) 456-2611 |
| NPI Number | 1528171790 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5294714622 |
|---|---|
| Medicare Enrollment ID | O20040719000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528171790 | NPI | - | NPPES |
| 0561531000 | Other | PA | PERSONAL CHOICE |
| 1000028030027 | Medicaid | PA | |
| 1000028030029 | Medicaid | PA | |
| 1000028030045 | Medicaid | PA | |
| 1317149 | Other | PA | MAGELLAN BEHAV HEALTH |
| 3136579 | Other | PA | AETNA US HEALTHCARE |
| 1000028030022 | Medicaid | PA | |
| 1000028030047 | Medicaid | PA | |
| 1000028031004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 185300 (Pennsylvania) | Primary |
| Provider Name | Basant K Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447299680 PECOS PAC ID: 3870558588 Enrollment ID: I20041122001046 |
| Provider Name | Abayomi O Ige |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184620130 PECOS PAC ID: 4183648967 Enrollment ID: I20060119000422 |
| Provider Name | Jiwesh C Jha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295764595 PECOS PAC ID: 2163436239 Enrollment ID: I20060127000133 |
| Provider Name | Pamela Joann Ralph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205953858 PECOS PAC ID: 1951318302 Enrollment ID: I20060310000006 |
| Provider Name | Theodore J Wilf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134216120 PECOS PAC ID: 4789683111 Enrollment ID: I20061213000319 |
| Provider Name | Kayode O Adunbarin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508903212 PECOS PAC ID: 3173629185 Enrollment ID: I20070509000058 |
| Provider Name | Steven B Datlof |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326465543 PECOS PAC ID: 6103049812 Enrollment ID: I20140528000836 |
| Provider Name | Rebecca C Vlam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225174915 PECOS PAC ID: 3476774126 Enrollment ID: I20141021002133 |
| Provider Name | Monique Tia Searight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801306014 PECOS PAC ID: 2567721681 Enrollment ID: I20180118001646 |
| Provider Name | Marc A Exilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588149587 PECOS PAC ID: 9830431915 Enrollment ID: I20190422002402 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |