Merakey Philadelphia | |
27 E Mount Airy Ave Philadelphia PA 19119-1713 | |
(215) 836-3131 | |
(215) 273-5975 |
Full Name | Merakey Philadelphia |
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Speciality | Community/Behavioral Health |
Location | 27 E Mount Airy Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
Authorized Official Contact | 2158363131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Merakey Philadelphia 620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | Merakey Philadelphia 27 E Mount Airy Ave Philadelphia PA 19119-1713 Ph: (215) 836-3131 |
NPI Number | 1073636866 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 01/26/2024 |
Certification Date | 01/26/2024 |
Medicare PECOS PAC ID | 9335034669 |
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Medicare Enrollment ID | O20040217000258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073636866 | NPI | - | NPPES |
1000017350115 | Medicaid | PA | |
1000017350316 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Denise Deguzman Senyk |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417054586 PECOS PAC ID: 0143133918 Enrollment ID: I20031107000329 |
Provider Name | Fathima Farhan Musthaq |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437204914 PECOS PAC ID: 3971599440 Enrollment ID: I20040421000684 |
Provider Name | Saleha Abbas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144283052 PECOS PAC ID: 9436134194 Enrollment ID: I20040618000859 |
Provider Name | Jeffrey David Bedrick |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174573869 PECOS PAC ID: 9335197284 Enrollment ID: I20050106000837 |
Provider Name | Usha Sagreiya |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083837371 PECOS PAC ID: 0244279651 Enrollment ID: I20050426000658 |
Provider Name | Josephine Agdamag Pobre-so |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679580310 PECOS PAC ID: 5092755827 Enrollment ID: I20050511000023 |
Provider Name | Motaz Alhomsi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154455798 PECOS PAC ID: 9436169208 Enrollment ID: I20060425000456 |
Provider Name | Andrew Mark Lopez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730232562 PECOS PAC ID: 4880695949 Enrollment ID: I20070117000087 |
Provider Name | Thomas Holdbrook |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942389762 PECOS PAC ID: 2163527136 Enrollment ID: I20070419000449 |
Provider Name | M Samson Seplow |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20080715000284 |
Provider Name | Anna Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679823017 PECOS PAC ID: 5799938759 Enrollment ID: I20121227000275 |
Provider Name | Irene G Bowman |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487998894 PECOS PAC ID: 1759534886 Enrollment ID: I20130123000337 |
Provider Name | Anowar Hossain |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942418090 PECOS PAC ID: 8729257480 Enrollment ID: I20140430001492 |
Provider Name | Sareta M Coubarous |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1558323196 PECOS PAC ID: 5799797791 Enrollment ID: I20141104002223 |
Provider Name | Ben L Boswell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528316122 PECOS PAC ID: 6002137197 Enrollment ID: I20150601002357 |
Provider Name | Liudmila Lobach |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1962832808 PECOS PAC ID: 3476864919 Enrollment ID: I20150624001676 |
Provider Name | Merin Wexler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235519331 PECOS PAC ID: 6002106192 Enrollment ID: I20160601002341 |
Provider Name | Aminata Cisse |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699031203 PECOS PAC ID: 7214221159 Enrollment ID: I20161005001535 |
Provider Name | Mini Varghese |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124275979 PECOS PAC ID: 9537444591 Enrollment ID: I20170315000160 |
Provider Name | Karen Kelley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902342991 PECOS PAC ID: 2264717909 Enrollment ID: I20170321001751 |
Provider Name | Jennifer Bush |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760030092 PECOS PAC ID: 3870824873 Enrollment ID: I20191004002392 |
Provider Name | Clement John |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184271074 PECOS PAC ID: 5698182228 Enrollment ID: I20210329000280 |
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