Guanjun Cheng, | |
14 Lincoln Ave, Yeadon, PA 19050-2822 | |
(610) 262-7700 | |
(610) 626-7690 |
Full Name | Guanjun Cheng |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 14 Lincoln Ave, Yeadon, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841950383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP024947 (Pennsylvania) | Primary |
Entity Name | Quality Community Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861490583 PECOS PAC ID: 6901821008 Enrollment ID: O20051007000534 |
Entity Name | Py Medical Services Of Pa Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437861176 PECOS PAC ID: 1658743158 Enrollment ID: O20230209001897 |
Mailing Address | Practice Location Address |
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Guanjun Cheng, 6136 170th St Apt M4, Fresh Meadows, NY 11365-1957 Ph: (718) 709-0940 | Guanjun Cheng, 14 Lincoln Ave, Yeadon, PA 19050-2822 Ph: (610) 262-7700 |
Rugiatu Kailie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 607 Rose St, Yeadon, PA 19050 Phone: 267-679-1958 | |
Shatyra Henderson-hamwright, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 E Baltimore Ave, Yeadon, PA 19050 Phone: 713-335-1754 | |
Alfred Abu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 832 Arbor Rd, Yeadon, PA 19050 Phone: 610-304-2550 Fax: 610-259-2932 | |
Marie Kamara, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Serrill Ave, Yeadon, PA 19050 Phone: 484-469-4692 Fax: 484-469-4694 |