| Merakey Total Health | |
|
27 E Mount Airy Ave Philadelphia PA 19119-1713 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Total Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 27 E Mount Airy Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Sarah Threnhauser (CEO MERAKEY TOTAL HEALTH) |
| Authorized Official Contact | 7175146624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Total Health 906 Bethlehem Pike Erdenheim PA 19038-7731 Ph: (215) 836-3131 | Merakey Total Health 27 E Mount Airy Ave Philadelphia PA 19119-1713 Ph: (215) 836-3131 |
| NPI Number | 1104337641 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 5890104897 |
|---|---|
| Medicare Enrollment ID | O20210504000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104337641 | NPI | - | NPPES |
| Provider Name | Rebecca Bixby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821300856 PECOS PAC ID: 6002063997 Enrollment ID: I20120828000828 |
| Provider Name | Kelly Anne Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811332703 PECOS PAC ID: 4385968965 Enrollment ID: I20171229000900 |
| Provider Name | Rahman Michael Carll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513174 PECOS PAC ID: 4981048246 Enrollment ID: I20240426001306 |
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