Russell Samuel Houck, CRNP | |
5501 Old York Rd, Philadelphia, PA 19141-3018 | |
(215) 456-7890 | |
Not Available |
Full Name | Russell Samuel Houck |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 5501 Old York Rd, 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 |
---|---|---|---|
1366198541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | SP024930 (Pennsylvania) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | SP024930 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | Einstein Practice Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003923707 PECOS PAC ID: 6204730955 Enrollment ID: O20141216000111 |
Mailing Address | Practice Location Address |
---|---|
Russell Samuel Houck, CRNP 5501 Old York Rd, Philadelphia, PA 19141-3018 Ph: (215) 456-7190 | Russell Samuel Houck, CRNP 5501 Old York Rd, Philadelphia, PA 19141-3018 Ph: (215) 456-7890 |
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