| Mazzoni Center | |
|
1348 Bainbridge St Philadelphia PA 19147-1810 | |
| (215) 563-0652 | |
| (215) 563-0664 |
| Full Name | Mazzoni Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1348 Bainbridge St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Alecia Manley (COO) |
| Authorized Official Contact | 2155630652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazzoni Center 1348 Bainbridge St Philadelphia PA 19147-1810 Ph: (215) 563-0652 | Mazzoni Center 1348 Bainbridge St Philadelphia PA 19147-1810 Ph: (215) 563-0652 |
| NPI Number | 1477631307 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 8527043736 |
|---|---|
| Medicare Enrollment ID | O20040622000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477631307 | NPI | - | NPPES |
| 1007555740014 | Medicaid | PA |
| Provider Name | Janet M Hines |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134159254 PECOS PAC ID: 8921091273 Enrollment ID: I20040405000572 |
| Provider Name | Judith A Morrissey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528120953 PECOS PAC ID: 5597773150 Enrollment ID: I20060323000734 |
| Provider Name | Jennifer Aldrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386719979 PECOS PAC ID: 3072617943 Enrollment ID: I20070402000740 |
| Provider Name | Priyankar Sarkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215149661 PECOS PAC ID: 8729110705 Enrollment ID: I20100712000283 |
| Provider Name | Mark T Watkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336226166 PECOS PAC ID: 3971789454 Enrollment ID: I20110518000079 |
| Provider Name | Stacey B. Trooskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073716296 PECOS PAC ID: 7810150083 Enrollment ID: I20120525000413 |
| Provider Name | Mary Riendeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952655979 PECOS PAC ID: 0840594149 Enrollment ID: I20160208000139 |
| Provider Name | Hilary A Rosenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063799351 PECOS PAC ID: 0840518544 Enrollment ID: I20170110000221 |
| Provider Name | Ash C Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926863 PECOS PAC ID: 2365703253 Enrollment ID: I20180312001314 |
| Provider Name | Sierra Simkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568964005 PECOS PAC ID: 2062767122 Enrollment ID: I20180614000859 |
| Provider Name | Justin P Benner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285033266 PECOS PAC ID: 7719230770 Enrollment ID: I20181022002964 |
| Provider Name | Kasey Elise Benchimol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790349835 PECOS PAC ID: 8628401395 Enrollment ID: I20191211000315 |
| Provider Name | Amber Heiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033443379 PECOS PAC ID: 2860812344 Enrollment ID: I20201022000560 |
| Provider Name | Rachel Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503853 PECOS PAC ID: 2860881695 Enrollment ID: I20211116001428 |
| Provider Name | Elyse Marie Hibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205419298 PECOS PAC ID: 7618366360 Enrollment ID: I20211118000181 |
| Provider Name | William Swiggard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457335622 PECOS PAC ID: 8628981669 Enrollment ID: I20211118000311 |
| Provider Name | Lucy Gleysteen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003471301 PECOS PAC ID: 6103216304 Enrollment ID: I20211202000350 |
| Provider Name | Jennifer Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710411749 PECOS PAC ID: 2567732670 Enrollment ID: I20230217000974 |
| Provider Name | Seth Carter Lamming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578275087 PECOS PAC ID: 1850763996 Enrollment ID: I20230217001949 |
| Provider Name | Mayeso Chithambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629746136 PECOS PAC ID: 6305219742 Enrollment ID: I20230306000433 |
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