Matthew Mendillo, APRN,FNP-C | |
100 S Juniper St Fl 3, Philadelphia, PA 19107-1316 | |
(866) 849-0692 | |
(888) 973-8821 |
Full Name | Matthew Mendillo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 100 S Juniper St Fl 3, Philadelphia, 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 |
---|---|---|---|
1467090415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036815 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP021250 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forbes Hospital | Monroeville, PA | Hospital |
Excela Health Westmoreland Regional Hospital | Greensburg, PA | Hospital |
Excela Health Latrobe Hospital | Latrobe, PA | Hospital |
Allegheny General Hospital | Pittsburgh, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allegheny Clinic | 5395649586 | 1959 |
Entity Name | Allegheny Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073081493 PECOS PAC ID: 5395649586 Enrollment ID: O20040310000602 |
Entity Name | Devoted Medical Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114642683 PECOS PAC ID: 6608249743 Enrollment ID: O20230310000903 |
Mailing Address | Practice Location Address |
---|---|
Matthew Mendillo, APRN,FNP-C Po Box 211699, Eagan, MN 55121-3699 Ph: (866) 849-0692 | Matthew Mendillo, APRN,FNP-C 100 S Juniper St Fl 3, Philadelphia, PA 19107-1316 Ph: (866) 849-0692 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 | |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 | |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 | |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 | |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 | |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 | |
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |