| Family Medicine Wyncote Tower Health Medical Group | |
|
8835 Germantown Ave Philadelphia PA 19118-2718 | |
| (215) 248-8200 | |
| (215) 248-1022 |
| Full Name | Family Medicine Wyncote Tower Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8835 Germantown Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Robert Ehinger (SR VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 4846284681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Wyncote Tower Health Medical Group Po Box 13579 Reading PA 19612-3579 Ph: () - | Family Medicine Wyncote Tower Health Medical Group 8835 Germantown Ave Philadelphia PA 19118-2718 Ph: (215) 248-8200 |
| NPI Number | 1508936071 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 2860492279 |
|---|---|
| Medicare Enrollment ID | O20070109000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508936071 | NPI | - | NPPES |
| Provider Name | John E Meilahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013905058 PECOS PAC ID: 2466357603 Enrollment ID: I20031202000113 |
| Provider Name | Carol D Bowes-lawlor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003892175 PECOS PAC ID: 4981505492 Enrollment ID: I20040117000061 |
| Provider Name | Mervyn D Danilewitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285682047 PECOS PAC ID: 1850281593 Enrollment ID: I20040317000777 |
| Provider Name | John K Derderian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477595445 PECOS PAC ID: 7113917089 Enrollment ID: I20040513000583 |
| Provider Name | Thomas Allen Geng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164462339 PECOS PAC ID: 6406838531 Enrollment ID: I20040603000079 |
| Provider Name | Asyia S Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609824069 PECOS PAC ID: 6709861180 Enrollment ID: I20040621000746 |
| Provider Name | Mark J Libassi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215967682 PECOS PAC ID: 7618963463 Enrollment ID: I20040621000900 |
| Provider Name | Matthew Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851393128 PECOS PAC ID: 5193700474 Enrollment ID: I20040621001626 |
| Provider Name | Vicente Cortes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144220682 PECOS PAC ID: 8527034420 Enrollment ID: I20040902000400 |
| Provider Name | Lorraine M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871680694 PECOS PAC ID: 9133198070 Enrollment ID: I20040928000882 |
| Provider Name | Claresa Sharon Levetan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063483469 PECOS PAC ID: 1355310954 Enrollment ID: I20040930000310 |
| Provider Name | Michael A Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013954171 PECOS PAC ID: 8527010438 Enrollment ID: I20050218000145 |
| Provider Name | John Donald Cacciamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740278654 PECOS PAC ID: 3173577756 Enrollment ID: I20050307000369 |
| Provider Name | Michael E Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639129257 PECOS PAC ID: 5193772648 Enrollment ID: I20050406000660 |
| Provider Name | Russell S Breish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514574 PECOS PAC ID: 4183663966 Enrollment ID: I20050502000165 |
| Provider Name | Marc W Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417948829 PECOS PAC ID: 6002855897 Enrollment ID: I20050502000223 |
| Provider Name | Anne Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689655102 PECOS PAC ID: 7012956824 Enrollment ID: I20050502000424 |
| Provider Name | Paul M Neumann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114908480 PECOS PAC ID: 5193765972 Enrollment ID: I20050511000483 |
| Provider Name | Lynda Theresa Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770569865 PECOS PAC ID: 7719928431 Enrollment ID: I20050512000621 |
| Provider Name | Valerie P Pendley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043291578 PECOS PAC ID: 1254372964 Enrollment ID: I20050601000623 |
| Provider Name | Keri L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881634459 PECOS PAC ID: 0446293989 Enrollment ID: I20050607000001 |
| Provider Name | Rachel Fondots Tornambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689650608 PECOS PAC ID: 3274577895 Enrollment ID: I20050615000103 |
| Provider Name | June M Fry |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558410845 PECOS PAC ID: 3274578208 Enrollment ID: I20050621000739 |
| Provider Name | Bernadette B Diccion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801957766 PECOS PAC ID: 2668417502 Enrollment ID: I20050622000343 |
| Provider Name | Charles A Altman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922367820 PECOS PAC ID: 6709812126 Enrollment ID: I20050715000953 |
| Provider Name | Brian J Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962439349 PECOS PAC ID: 4284662560 Enrollment ID: I20050728000397 |
| Provider Name | Ady Lynn Djerassi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427076199 PECOS PAC ID: 0941239610 Enrollment ID: I20050812000097 |
| Provider Name | Aliza Bella Rabinowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347597 PECOS PAC ID: 5698700193 Enrollment ID: I20051004000447 |
| Provider Name | Ian M Goonewardene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679522676 PECOS PAC ID: 2163444563 Enrollment ID: I20051229000232 |
| Provider Name | Donna J Barbot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174563423 PECOS PAC ID: 5597788422 Enrollment ID: I20060106000207 |
| Provider Name | Roxanne Jeffries-baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902837230 PECOS PAC ID: 1850309451 Enrollment ID: I20060323000332 |
| Provider Name | Steven Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285684118 PECOS PAC ID: 1850372046 Enrollment ID: I20060501000615 |
| Provider Name | Zhabiz Kazeminezhad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407865298 PECOS PAC ID: 1850395328 Enrollment ID: I20060914000475 |
| Provider Name | Patricia Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750320578 PECOS PAC ID: 5193720175 Enrollment ID: I20060926000159 |
| Provider Name | Michael Charles Marcucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538107701 PECOS PAC ID: 4981601838 Enrollment ID: I20061107000172 |
| Provider Name | Forrest B Fernandez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174619969 PECOS PAC ID: 4587642103 Enrollment ID: I20061213000158 |
| Provider Name | Steven B Standiford |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1790886539 PECOS PAC ID: 6406858505 Enrollment ID: I20070202000036 |
| Provider Name | Jennifer Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013936491 PECOS PAC ID: 8426153701 Enrollment ID: I20070416000050 |
| Provider Name | Eugene F Reilly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447466800 PECOS PAC ID: 2668570367 Enrollment ID: I20070604000539 |
| Provider Name | Keith Calligaro |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326198946 PECOS PAC ID: 5890757413 Enrollment ID: I20070726000736 |
| Provider Name | Erin R Lockard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881789253 PECOS PAC ID: 4284735739 Enrollment ID: I20070727000170 |
| Provider Name | Matthew Dougherty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225188840 PECOS PAC ID: 7113989732 Enrollment ID: I20070731000153 |
| Provider Name | Nina R O'connor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841212909 PECOS PAC ID: 0143223388 Enrollment ID: I20070823000659 |
| Provider Name | Nicole Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275572901 PECOS PAC ID: 0547159113 Enrollment ID: I20070907000046 |
| Provider Name | Scott E Myers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407839145 PECOS PAC ID: 3274572540 Enrollment ID: I20070907000230 |
| Provider Name | Annette B Gadegbeku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063625176 PECOS PAC ID: 2668568353 Enrollment ID: I20071010000674 |
| Provider Name | Joyce V Yablunsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891967485 PECOS PAC ID: 2668541236 Enrollment ID: I20080522000091 |
| Provider Name | David A Cohen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1225079551 PECOS PAC ID: 0547297640 Enrollment ID: I20080715000362 |
| Provider Name | Amanda P Howell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801057898 PECOS PAC ID: 6103991971 Enrollment ID: I20080814000102 |
| Provider Name | Deepam Gokal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902861842 PECOS PAC ID: 8224196456 Enrollment ID: I20081016000546 |
| Provider Name | Wakengo Mahaniah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710156294 PECOS PAC ID: 4486713187 Enrollment ID: I20081111000070 |
| Provider Name | Magdalene Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629074455 PECOS PAC ID: 9537228119 Enrollment ID: I20081112000011 |
| Provider Name | Binu T Pappachen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376741116 PECOS PAC ID: 3375608482 Enrollment ID: I20090224000287 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20090714000058 |
| Provider Name | William C Mcbride |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558410316 PECOS PAC ID: 4880747633 Enrollment ID: I20090728000119 |
| Provider Name | Heidi S Harvie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740346725 PECOS PAC ID: 2860545480 Enrollment ID: I20090729000842 |
| Provider Name | Rachel Eisenbrock Chase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003044884 PECOS PAC ID: 1951454453 Enrollment ID: I20090731000136 |
| Provider Name | Neil Gulati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174790182 PECOS PAC ID: 9739232067 Enrollment ID: I20090804000042 |
| Provider Name | Amit Khanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568660462 PECOS PAC ID: 1052404811 Enrollment ID: I20091014000202 |
| Provider Name | Catherine Z Plzak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083700066 PECOS PAC ID: 2466454418 Enrollment ID: I20091230000425 |
| Provider Name | Adrian Wei-huan Ong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003817586 PECOS PAC ID: 0547305013 Enrollment ID: I20100309000071 |
| Provider Name | Kenneth P Patrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548249394 PECOS PAC ID: 7618982356 Enrollment ID: I20100504000832 |
| Provider Name | Valerie D Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588664577 PECOS PAC ID: 2365543261 Enrollment ID: I20100505000105 |
| Provider Name | Monica Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700100757 PECOS PAC ID: 8224168810 Enrollment ID: I20100608000565 |
| Provider Name | Steven L Zinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376589168 PECOS PAC ID: 6305976309 Enrollment ID: I20100618000280 |
| Provider Name | Julieanne Hlavac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235179714 PECOS PAC ID: 0648301531 Enrollment ID: I20100621000557 |
| Provider Name | Marcus A Saunders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033360508 PECOS PAC ID: 6901937689 Enrollment ID: I20100624000010 |
| Provider Name | Arati S Karnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528294402 PECOS PAC ID: 1759436256 Enrollment ID: I20100920000638 |
| Provider Name | Martha Zubritzky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044175 PECOS PAC ID: 0143255653 Enrollment ID: I20101020000196 |
| Provider Name | Karen A Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144286584 PECOS PAC ID: 4981897121 Enrollment ID: I20101020001340 |
| Provider Name | Neil L Sand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336105782 PECOS PAC ID: 6608060538 Enrollment ID: I20101104000291 |
| Provider Name | Leon Mccrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518118553 PECOS PAC ID: 3678767480 Enrollment ID: I20101104001399 |
| Provider Name | Eugene P Hughes |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932148756 PECOS PAC ID: 9032305404 Enrollment ID: I20101124000445 |
| Provider Name | Susanna Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770523870 PECOS PAC ID: 0749479756 Enrollment ID: I20110106000420 |
| Provider Name | Charles Barbera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851398242 PECOS PAC ID: 1153504881 Enrollment ID: I20110317000776 |
| Provider Name | Kristi D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588656060 PECOS PAC ID: 7911183934 Enrollment ID: I20110509000520 |
| Provider Name | Jennielyn B Comia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415484 PECOS PAC ID: 2961670815 Enrollment ID: I20110719000707 |
| Provider Name | Pamela K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881964062 PECOS PAC ID: 8527235852 Enrollment ID: I20120126000807 |
| Provider Name | Charles H Schafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699826891 PECOS PAC ID: 9335306836 Enrollment ID: I20120213000110 |
| Provider Name | Sunil Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184651606 PECOS PAC ID: 4385805860 Enrollment ID: I20120410000229 |
| Provider Name | Kristina L Bookwalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750647541 PECOS PAC ID: 6800058025 Enrollment ID: I20120507000047 |
| Provider Name | Mark B Woodland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477510337 PECOS PAC ID: 2365605722 Enrollment ID: I20120522000926 |
| Provider Name | Neil D Khare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265690655 PECOS PAC ID: 9335397678 Enrollment ID: I20120912000281 |
| Provider Name | Terry Kanefsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124035589 PECOS PAC ID: 6800813452 Enrollment ID: I20121005000008 |
| Provider Name | Marlo A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497015887 PECOS PAC ID: 6406006915 Enrollment ID: I20121018000387 |
| Provider Name | Roberto Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376810192 PECOS PAC ID: 8628221538 Enrollment ID: I20121228000415 |
| Provider Name | Jennifer L Repanshek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508177866 PECOS PAC ID: 8820239163 Enrollment ID: I20130729000617 |
| Provider Name | Keren C Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700180577 PECOS PAC ID: 5496997819 Enrollment ID: I20130815000102 |
| Provider Name | James F Peoples |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801088893 PECOS PAC ID: 7315189545 Enrollment ID: I20130816000653 |
| Provider Name | Joseph R Twanmoh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396784336 PECOS PAC ID: 0042107138 Enrollment ID: I20130919000025 |
| Provider Name | Amanda Michael Woodworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306000757 PECOS PAC ID: 4284868811 Enrollment ID: I20131014001273 |
| Provider Name | Ekunola O Alade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750556288 PECOS PAC ID: 2466623913 Enrollment ID: I20140207000398 |
| Provider Name | Amanda R Mcnicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104993443 PECOS PAC ID: 1456350461 Enrollment ID: I20140410000614 |
| Provider Name | Douglas Troutman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548580897 PECOS PAC ID: 2466678867 Enrollment ID: I20140721001225 |
| Provider Name | Andrew S Berta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750676722 PECOS PAC ID: 7810114543 Enrollment ID: I20140804001507 |
| Provider Name | Ali Saeed Chaudhary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285925115 PECOS PAC ID: 4082832837 Enrollment ID: I20140820001720 |
| Provider Name | Melinda Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740515238 PECOS PAC ID: 5395964936 Enrollment ID: I20140915001061 |
| Provider Name | Munish R. Bakshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508057365 PECOS PAC ID: 5890830426 Enrollment ID: I20141219000834 |
| Provider Name | Christy S Weidman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862977 PECOS PAC ID: 5698090801 Enrollment ID: I20150211000481 |
| Provider Name | Kelly M Miskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588901094 PECOS PAC ID: 6608194006 Enrollment ID: I20150415001520 |
| Provider Name | Amanda Z De La Paz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215236484 PECOS PAC ID: 1254564362 Enrollment ID: I20150610001958 |
| Provider Name | Annamaria Autorino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043659097 PECOS PAC ID: 6103048426 Enrollment ID: I20150812006378 |
| Provider Name | Roopika Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760618516 PECOS PAC ID: 7214126242 Enrollment ID: I20151217002486 |
| Provider Name | Sarah J Mathew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437311743 PECOS PAC ID: 0446551485 Enrollment ID: I20160112001402 |
| Provider Name | Michael Rayner Leedom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003951823 PECOS PAC ID: 0749332922 Enrollment ID: I20160113002639 |
| Provider Name | Ross A Simcoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801138193 PECOS PAC ID: 4486886587 Enrollment ID: I20160330002100 |
| Provider Name | Lee M Jablow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245658129 PECOS PAC ID: 0143511642 Enrollment ID: I20160613002373 |
| Provider Name | Erin H Sjostrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780888578 PECOS PAC ID: 8426349747 Enrollment ID: I20160616001852 |
| Provider Name | Robert W Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184063398 PECOS PAC ID: 4981995727 Enrollment ID: I20160624001227 |
| Provider Name | Allison Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538421078 PECOS PAC ID: 0446543961 Enrollment ID: I20160721000737 |
| Provider Name | Puneet Prakash Tejsinghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922440791 PECOS PAC ID: 2466774542 Enrollment ID: I20160805000758 |
| Provider Name | Sudhamshu Sirisinahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124382080 PECOS PAC ID: 5193036572 Enrollment ID: I20160810000431 |
| Provider Name | Jenice L Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851565501 PECOS PAC ID: 0840352886 Enrollment ID: I20160901000362 |
| Provider Name | Sithu Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023417649 PECOS PAC ID: 4284921727 Enrollment ID: I20160927000857 |
| Provider Name | Sonia Shashank Shah |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1245587740 PECOS PAC ID: 9133409261 Enrollment ID: I20161207002060 |
| Provider Name | Joshua N Lovinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528383718 PECOS PAC ID: 9335429109 Enrollment ID: I20161213002485 |
| Provider Name | Shane Layser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629512629 PECOS PAC ID: 0547544322 Enrollment ID: I20170222001198 |
| Provider Name | Gregory Luke Larkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205890084 PECOS PAC ID: 0042212995 Enrollment ID: I20170307000443 |
| Provider Name | Kristy Fundora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558816140 PECOS PAC ID: 1456637107 Enrollment ID: I20170411002052 |
| Provider Name | Ahmed Nuaimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265824700 PECOS PAC ID: 3375831126 Enrollment ID: I20170509000467 |
| Provider Name | Danielle L Spadafora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699215889 PECOS PAC ID: 7214204874 Enrollment ID: I20170602000087 |
| Provider Name | Annie Zavitsanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508398819 PECOS PAC ID: 0042587578 Enrollment ID: I20170605000223 |
| Provider Name | Kathleen M Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982157129 PECOS PAC ID: 3375815038 Enrollment ID: I20170816001386 |
| Provider Name | Filip Moshkovsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629377262 PECOS PAC ID: 0840596714 Enrollment ID: I20170829001049 |
| Provider Name | Jacqueline Arenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811281108 PECOS PAC ID: 4789974742 Enrollment ID: I20170908002065 |
| Provider Name | Thomas W Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508126525 PECOS PAC ID: 3274756028 Enrollment ID: I20171006001222 |
| Provider Name | Alicia K Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689703563 PECOS PAC ID: 3173717543 Enrollment ID: I20171019002153 |
| Provider Name | Herschel Kupfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003869470 PECOS PAC ID: 4486675428 Enrollment ID: I20171027001529 |
| Provider Name | Janet Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487975454 PECOS PAC ID: 2062650799 Enrollment ID: I20171030000562 |
| Provider Name | Thanh-thi Dang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750645396 PECOS PAC ID: 4688982333 Enrollment ID: I20171103000060 |
| Provider Name | Ryan Reid King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629364484 PECOS PAC ID: 1658637756 Enrollment ID: I20171106001872 |
| Provider Name | Heather R Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269742 PECOS PAC ID: 8729344825 Enrollment ID: I20171106001946 |
| Provider Name | Pratap R Tetali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548672041 PECOS PAC ID: 2365660925 Enrollment ID: I20171113003602 |
| Provider Name | Alexander D Plocki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033477138 PECOS PAC ID: 4587970942 Enrollment ID: I20171114003042 |
| Provider Name | Brianna N Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477062628 PECOS PAC ID: 5799043980 Enrollment ID: I20171215002313 |
| Provider Name | Jennifer Lisa Flom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821485632 PECOS PAC ID: 6800187527 Enrollment ID: I20180123000165 |
| Provider Name | Ya Yu Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912312018 PECOS PAC ID: 8426364126 Enrollment ID: I20180305000199 |
| Provider Name | John S Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366708620 PECOS PAC ID: 0648585190 Enrollment ID: I20180305001962 |
| Provider Name | Mohammad M Anwar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114043601 PECOS PAC ID: 9133398993 Enrollment ID: I20180424002639 |
| Provider Name | Joshua Nathaniel Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770090375 PECOS PAC ID: 5294098380 Enrollment ID: I20180425000714 |
| Provider Name | Carolyn Beth O Connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457419491 PECOS PAC ID: 5496701658 Enrollment ID: I20180529000065 |
| Provider Name | Hassan Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619387040 PECOS PAC ID: 5991096224 Enrollment ID: I20180604002709 |
| Provider Name | Rachelle Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023438389 PECOS PAC ID: 0143525915 Enrollment ID: I20180605001442 |
| Provider Name | Samuel Reich Eldrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457713554 PECOS PAC ID: 4183979693 Enrollment ID: I20180622002650 |
| Provider Name | Shantanu Solanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245615707 PECOS PAC ID: 8224384482 Enrollment ID: I20180702002481 |
| Provider Name | Kristen M Ryczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356603872 PECOS PAC ID: 0840590972 Enrollment ID: I20180730000661 |
| Provider Name | Patricia Eliasinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346655727 PECOS PAC ID: 2668721085 Enrollment ID: I20180817002963 |
| Provider Name | Maria K Dormans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053792150 PECOS PAC ID: 4981918117 Enrollment ID: I20180820001759 |
| Provider Name | Angela Silverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386030674 PECOS PAC ID: 9335460690 Enrollment ID: I20180906001679 |
| Provider Name | Melissa L Mao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245594498 PECOS PAC ID: 5294088563 Enrollment ID: I20181102001880 |
| Provider Name | Erin Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225190341 PECOS PAC ID: 4981782273 Enrollment ID: I20181107000547 |
| Provider Name | Aung Naing Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912389768 PECOS PAC ID: 2163776048 Enrollment ID: I20181112002245 |
| Provider Name | Kelly O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884546 PECOS PAC ID: 0941554745 Enrollment ID: I20181114001473 |
| Provider Name | Janet M Sim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558742338 PECOS PAC ID: 6507171014 Enrollment ID: I20181227002170 |
| Provider Name | Susan Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962979989 PECOS PAC ID: 0446596621 Enrollment ID: I20190109000072 |
| Provider Name | Michael F Musso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275973752 PECOS PAC ID: 4284937061 Enrollment ID: I20190129002586 |
| Provider Name | Theresa Mary Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737505 PECOS PAC ID: 3870832033 Enrollment ID: I20190305003061 |
| Provider Name | Claire Emily Melin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023437191 PECOS PAC ID: 1153543442 Enrollment ID: I20190311002388 |
| Provider Name | Dilip Kumar Jayaraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467860809 PECOS PAC ID: 3173873874 Enrollment ID: I20190725002524 |
| Provider Name | Brian F Freeze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679990840 PECOS PAC ID: 2365736063 Enrollment ID: I20190814000057 |
| Provider Name | Johat Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504030 PECOS PAC ID: 6406103233 Enrollment ID: I20190827000600 |
| Provider Name | Michael David Manchak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265674873 PECOS PAC ID: 6305067711 Enrollment ID: I20190917003941 |
| Provider Name | Jeremy Chanan Boxer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845028 PECOS PAC ID: 9335427343 Enrollment ID: I20190919001947 |
| Provider Name | Jonathan Robert Papaharis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326167 PECOS PAC ID: 6901136415 Enrollment ID: I20190926001232 |
| Provider Name | Roshin Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619300571 PECOS PAC ID: 2264781970 Enrollment ID: I20191021000182 |
| Provider Name | Alan L Hyneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202537 PECOS PAC ID: 5294167193 Enrollment ID: I20191114001871 |
| Provider Name | Thomas Leahy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528201076 PECOS PAC ID: 2264750348 Enrollment ID: I20200128001919 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20200205001979 |
| Provider Name | Anita Bhamidipati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134582067 PECOS PAC ID: 4486903986 Enrollment ID: I20200528002288 |
| Provider Name | Jacob Finkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992153498 PECOS PAC ID: 7416243605 Enrollment ID: I20200604001479 |
| Provider Name | Louis J Argentine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679018014 PECOS PAC ID: 4082943519 Enrollment ID: I20200609000109 |
| Provider Name | Walter Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922461805 PECOS PAC ID: 8628362498 Enrollment ID: I20200617000716 |
| Provider Name | Poonam Kothari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609375864 PECOS PAC ID: 8527481092 Enrollment ID: I20200701001295 |
| Provider Name | Benjamin Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871020347 PECOS PAC ID: 5092082677 Enrollment ID: I20200709003694 |
| Provider Name | Michelle Pedersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700260601 PECOS PAC ID: 0446558431 Enrollment ID: I20200723001177 |
| Provider Name | Kimberly Behney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780208090 PECOS PAC ID: 4587080452 Enrollment ID: I20200824000075 |
| Provider Name | Melissa Geary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346602703 PECOS PAC ID: 0446677280 Enrollment ID: I20200825003413 |
| Provider Name | Daniel Sternberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447639562 PECOS PAC ID: 1850625526 Enrollment ID: I20201015000447 |
| Provider Name | Christina Rizzardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225645484 PECOS PAC ID: 8224448816 Enrollment ID: I20201111000086 |
| Provider Name | Kareem Abed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770940843 PECOS PAC ID: 4789962945 Enrollment ID: I20201202002843 |
| Provider Name | Maryann Keep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386233179 PECOS PAC ID: 6800202979 Enrollment ID: I20210316000562 |
| Provider Name | Ryan Paul Sarkaria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942628193 PECOS PAC ID: 2769789387 Enrollment ID: I20210423000047 |
| Provider Name | Eric Bressman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164886008 PECOS PAC ID: 6901159193 Enrollment ID: I20210715002438 |
| Provider Name | Joshua J Gottfried |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043751910 PECOS PAC ID: 3779987995 Enrollment ID: I20210811000234 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306334727 PECOS PAC ID: 0042615478 Enrollment ID: I20210824001912 |
| Provider Name | Mark Notash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558545863 PECOS PAC ID: 0749348787 Enrollment ID: I20211103002582 |
| Provider Name | Deena Diamond Wasserman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407201908 PECOS PAC ID: 1052603776 Enrollment ID: I20211130000965 |
| Provider Name | Daniel Matthew Hoberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184936965 PECOS PAC ID: 3274768155 Enrollment ID: I20211221002712 |
| Provider Name | Richard Iuorio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134413867 PECOS PAC ID: 5799070942 Enrollment ID: I20220127001518 |
| Provider Name | Florence Ofori Gyasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275280844 PECOS PAC ID: 4183019268 Enrollment ID: I20220329000189 |
| Provider Name | Kaitlin Elizabeth O'malley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922563089 PECOS PAC ID: 7113313628 Enrollment ID: I20220411000890 |
| Provider Name | Elizabeth Mannarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215213418 PECOS PAC ID: 7214180603 Enrollment ID: I20220518002898 |
| Provider Name | Angela Ugorets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457830408 PECOS PAC ID: 2668876491 Enrollment ID: I20220625000614 |
| Provider Name | Nicholas Zinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356755953 PECOS PAC ID: 2567733272 Enrollment ID: I20220704000257 |
| Provider Name | Priya R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194282582 PECOS PAC ID: 3476880360 Enrollment ID: I20220808003326 |
| Provider Name | Carolyn Sciblo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700379161 PECOS PAC ID: 8628325461 Enrollment ID: I20220810003876 |
| Provider Name | Julien Menko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265936660 PECOS PAC ID: 0446599583 Enrollment ID: I20220829001931 |
| Provider Name | Shemeica Binns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740784446 PECOS PAC ID: 0244614923 Enrollment ID: I20220830000221 |
| Provider Name | Ahad Qasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881152445 PECOS PAC ID: 4284019134 Enrollment ID: I20220914000783 |
| Provider Name | Brett Lipetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396202875 PECOS PAC ID: 9537499041 Enrollment ID: I20221014000308 |
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 |