| Mg Therapeutic Services Llc | |
|
100 W 6th St, Suite 305 Suite 305 Media PA 19063-3228 | |
| (484) 445-4147 | |
| (484) 445-4149 |
| Full Name | Mg Therapeutic Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 100 W 6th St, Suite 305, Media, Pennsylvania |
| Authorized Official Name and Position | Marc Gramatges (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4844454147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mg Therapeutic Services Llc 100 W 6th St, Suite 305 Suite 305 Media PA 19063-3228 Ph: (484) 445-4147 | Mg Therapeutic Services Llc 100 W 6th St, Suite 305 Suite 305 Media PA 19063-3228 Ph: (484) 445-4147 |
| NPI Number | 1578971750 |
|---|---|
| Provider Enumeration Date | 07/31/2014 |
| Last Update Date | 10/21/2016 |
| Medicare PECOS PAC ID | 7517187115 |
|---|---|
| Medicare Enrollment ID | O20141002001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578971750 | NPI | - | NPPES |
| Provider Name | Marc Alexander Gramatges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306106471 PECOS PAC ID: 8426278029 Enrollment ID: I20141002001464 |
| Provider Name | Miriam K Paikoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497839690 PECOS PAC ID: 7911216478 Enrollment ID: I20151022002777 |
| Provider Name | Gina M Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780135160 PECOS PAC ID: 1951652221 Enrollment ID: I20180926000073 |
| Provider Name | Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033516786 PECOS PAC ID: 8123490885 Enrollment ID: I20230207002303 |
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