Pearlmed Pllc | |
891 Baltimore Pike Springfield PA 19064-3954 | |
(215) 789-6264 | |
(215) 754-4695 |
Full Name | Pearlmed Pllc |
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Speciality | Pain Medicine |
Location | 891 Baltimore Pike, Springfield, Pennsylvania |
Authorized Official Name and Position | Steven D Grossinger (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2157896264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearlmed Pllc 891 Baltimore Pike Springfield PA 19064-3954 Ph: (215) 789-6264 | Pearlmed Pllc 891 Baltimore Pike Springfield PA 19064-3954 Ph: (215) 789-6264 |
NPI Number | 1902460876 |
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Provider Enumeration Date | 04/26/2019 |
Last Update Date | 01/29/2023 |
Certification Date | 01/29/2023 |
Medicare PECOS PAC ID | 9537493606 |
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Medicare Enrollment ID | O20190624000768 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902460876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
Provider Name | Steven D Grossinger |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1134102957 PECOS PAC ID: 3870533409 Enrollment ID: I20071205000656 |
Provider Name | Heather A Morrow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184214082 PECOS PAC ID: 9537561758 Enrollment ID: I20210712000831 |
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