Mr Oumar Sano, CRNP | |
2501 W Lehigh Ave, Philadelphia, PA 19132 | |
(215) 227-0300 | |
Not Available |
Full Name | Mr Oumar Sano |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 2501 W Lehigh Ave, 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 |
---|---|---|---|
1770912123 | NPI | - | NPPES |
1028808850003 | Medicaid | PA | |
1028808850001 | Medicaid | PA | |
1028808850004 | Medicaid | PA | |
1028808850010 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP026884 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP013154 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Haven Behavioral Services Of Reading Llc | 4183810807 | 19 |
Entity Name | Haven Behavioral Services Of Reading Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629384292 PECOS PAC ID: 4183810807 Enrollment ID: O20101120000000 |
Entity Name | Berks Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649525569 PECOS PAC ID: 2860643582 Enrollment ID: O20130716000431 |
Mailing Address | Practice Location Address |
---|---|
Mr Oumar Sano, CRNP 2501 W Lehigh Ave, Philadelphia, PA 19132-3207 Ph: (215) 227-0300 | Mr Oumar Sano, CRNP 2501 W Lehigh Ave, Philadelphia, PA 19132 Ph: (215) 227-0300 |
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