Mercedes Vallecillo, | |
34th Street And Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 | |
(215) 590-1858 | |
(215) 590-1415 |
Full Name | Mercedes Vallecillo |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 34th Street And Civic Center Boulevard, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639560709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN595832 (Pennsylvania) | Primary |
Entity Name | United Anesthesia Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053366062 PECOS PAC ID: 3173437613 Enrollment ID: O20031118000620 |
Entity Name | Childrens Anesthesiology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032 |
Entity Name | Stc Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
---|---|
Mercedes Vallecillo, 100 East Penn Square, The Wanamaker Building, 9th Floor, North, Philadelphia, PA 19107-3323 Ph: (267) 425-9300 | Mercedes Vallecillo, 34th Street And Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 Ph: (215) 590-1858 |
Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900 | |
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000 | |
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 | |
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028 | |
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310 |