| Quickmd Medical Group Pa | |
|
18 Campus Blvd Ste 100 Newtown Square PA 19073-3240 | |
| (888) 878-4256 | |
| Not Available |
| Full Name | Quickmd Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 18 Campus Blvd Ste 100, Newtown Square, Pennsylvania |
| Authorized Official Name and Position | Katrina Merritt (SENIOR MANAGER, CREDENTIALING) |
| Authorized Official Contact | 8135965726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quickmd Medical Group Pa 3865 Holcomb Bridge Rd Peachtree Corners GA 30092-2205 Ph: (888) 878-4256 | Quickmd Medical Group Pa 18 Campus Blvd Ste 100 Newtown Square PA 19073-3240 Ph: (888) 878-4256 |
| NPI Number | 1356099204 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2961898648 |
|---|---|
| Medicare Enrollment ID | O20220602000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356099204 | NPI | - | NPPES |
| Provider Name | Dylan Paul Deatrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023057858 PECOS PAC ID: 5496769804 Enrollment ID: I20060206000298 |
| Provider Name | Susan K Arnoult |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528098852 PECOS PAC ID: 7416968953 Enrollment ID: I20060511000232 |
| Provider Name | Adam Kennah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144260043 PECOS PAC ID: 4981617636 Enrollment ID: I20070412000459 |
| Provider Name | Sean Bandzar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972967461 PECOS PAC ID: 6800134594 Enrollment ID: I20210412002010 |
| Provider Name | Priju Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700370715 PECOS PAC ID: 8628324399 Enrollment ID: I20210630003670 |
| Provider Name | John A Hafycz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760045058 PECOS PAC ID: 3375979123 Enrollment ID: I20210730000281 |
| Provider Name | Bhavna Bali |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1437681541 PECOS PAC ID: 5890191373 Enrollment ID: I20210908003457 |
| Provider Name | Margaret J Gregorczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982623385 PECOS PAC ID: 3072688753 Enrollment ID: I20230511003732 |
| Provider Name | Dana Lowenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376808493 PECOS PAC ID: 2062714561 Enrollment ID: I20230511003756 |
| Provider Name | Eric Fete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013054980 PECOS PAC ID: 2860544103 Enrollment ID: I20230511003769 |
| Provider Name | Caleb S Lougheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154950251 PECOS PAC ID: 0749611218 Enrollment ID: I20230511003791 |
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Carango & Sutera Therapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5048 W Chester Pike, Newtown Square, PA 19073 Phone: 267-226-9998 |