James E Cautillo, CRNP | |
1068 W Baltimore Pike Ste 202, Media, PA 19063 | |
(484) 337-2580 | |
Not Available |
Full Name | James E Cautillo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1068 W Baltimore Pike Ste 202, Media, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487150959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP018384 (Pennsylvania) | Primary |
363L00000X | Nurse Practitioner | SP018384 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Riddle Memorial Hospital | Media, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
---|---|
James E Cautillo, CRNP 1068 W Baltimore Pike Ste 202, Media, PA 19063-5104 Ph: (484) 337-2580 | James E Cautillo, CRNP 1068 W Baltimore Pike Ste 202, Media, PA 19063 Ph: (484) 337-2580 |
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Ms. Phuong Ngo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 W Baltimore Pike, Media, PA 19063 Phone: 484-227-3218 | |
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