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501 Street Rd Suite 101 Southampton PA 18966-3796 | |
| (215) 357-5780 | |
| (215) 364-8983 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Street Rd, Southampton, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 357-5780 | 501 Street Rd Suite 101 Southampton PA 18966-3796 Ph: (215) 357-5780 |
| NPI Number | 1922454818 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20160823000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922454818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerry M Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023014123 PECOS PAC ID: 9032011069 Enrollment ID: I20040121000891 |
| Provider Name | Melissa Q Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639140122 PECOS PAC ID: 1153359815 Enrollment ID: I20050803000163 |
| Provider Name | Christina Y Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326274259 PECOS PAC ID: 2961667837 Enrollment ID: I20120626000629 |
Dr Allan R Snyder Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Street Rd Ste G, Southampton, PA 18966 Phone: 215-322-7060 Fax: 215-322-0663 | |
East-west Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 649 2nd Street Pike Ste B, Southampton, PA 18966 Phone: 215-322-7733 Fax: 215-322-7743 | |
Butterwick & Kerner Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Second Street Pike Ste 145, Southampton, PA 18966 Phone: 215-322-2213 Fax: 215-322-2214 | |
Internal Medicine Specialist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Second Street Pike, Suite 2, Southampton, PA 18966 Phone: 215-322-5002 Fax: 215-322-5008 | |
Paul M Izes Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 2nd Street Pike Ste 105, Southampton, PA 18966 Phone: 215-322-5575 Fax: 215-322-6806 | |
Infectious Diseases Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 729 Grove Avenue, Suite 4, Southampton, PA 18966 Phone: 215-355-9634 Fax: 215-357-7540 |