Ms Kathleen Rowan Mahoney, CRNP, MSN, PHD | |
1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 | |
(215) 765-6690 | |
(215) 765-6694 |
Full Name | Ms Kathleen Rowan Mahoney |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1900 N 9th St, 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 |
---|---|---|---|
1174565428 | NPI | - | NPPES |
1590259 | Other | PA | BLUE CROSS |
7934856 | Other | PA | AETNA |
30027025 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
16621 | Other | PA | BRAVO |
2268269000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
0016148450001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | UP001097C (Pennsylvania) | Primary |
Entity Name | House Call Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720533854 PECOS PAC ID: 6002103983 Enrollment ID: O20160920002351 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen Rowan Mahoney, CRNP, MSN, PHD 1500 Market St, Lm 500 West Tower, Philadelphia, PA 19102-2100 Ph: (215) 985-2595 | Ms Kathleen Rowan Mahoney, CRNP, MSN, PHD 1900 N 9th St, Suite 104, Philadelphia, PA 19122-2024 Ph: (215) 765-6690 |
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 |