Patricia Moul Hewson, CRNP | |
1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 | |
(215) 765-6690 | |
(215) 765-6694 |
Full Name | Patricia Moul Hewson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
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 |
---|---|---|---|
1871550699 | NPI | - | NPPES |
1488053 | Other | PA | AETNA |
1590248 | Other | PA | BLUE CROSS |
2268264000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
0016148630001 | Medicaid | PA | |
30027023 | Other | PA | KEYSTONE MERCY HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | VP000992D (Pennsylvania) | Primary |
Entity Name | Public Health Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881779866 PECOS PAC ID: 1850307406 Enrollment ID: O20060504000213 |
Mailing Address | Practice Location Address |
---|---|
Patricia Moul Hewson, CRNP 1500 Market Street, Lm 500 West Tower, Philadelphia, PA 19120-2100 Ph: (215) 985-2595 | Patricia Moul Hewson, CRNP 1900 N 9th St, Suite 104, Philadelphia, PA 19122-1909 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 |