| Delaware Valley I.d. Associates, P.c. | |
|
100 E Lancaster Ave Mob East 556 Wynnewood PA 19096-3450 | |
| (610) 896-0210 | |
| (610) 896-5101 |
| Full Name | Delaware Valley I.d. Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | Lisa Cavallaro (DIRECTOR OF FINANCE AND OPERATIONS) |
| Authorized Official Contact | 6108960210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Valley I.d. Associates, P.c. 100 E Lancaster Ave Mob East 556 Wynnewood PA 19096-3450 Ph: (610) 896-0210 | Delaware Valley I.d. Associates, P.c. 100 E Lancaster Ave Mob East 556 Wynnewood PA 19096-3450 Ph: (610) 896-0210 |
| NPI Number | 1871517540 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 01/22/2020 |
| Medicare PECOS PAC ID | 2365421161 |
|---|---|
| Medicare Enrollment ID | O20040715000842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871517540 | NPI | - | NPPES |
| 01886952 | Medicaid | PA | |
| 097746 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0061398000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 54910 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jackeline Iacovella |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174660195 PECOS PAC ID: 3971586223 Enrollment ID: I20040609000442 |
| Provider Name | Bevin L Dolan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912186701 PECOS PAC ID: 1153492228 Enrollment ID: I20080617000433 |
| Provider Name | Brett Charles Gilbert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275599532 PECOS PAC ID: 1759407661 Enrollment ID: I20100929000134 |
| Provider Name | Mark Jeffrey Ingerman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164488490 PECOS PAC ID: 0648396424 Enrollment ID: I20100929001070 |
| Provider Name | Jerome Santoro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447216858 PECOS PAC ID: 4587768452 Enrollment ID: I20101015000137 |
| Provider Name | Lawrence Louis Livornese |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932165271 PECOS PAC ID: 4789877325 Enrollment ID: I20101015000203 |
| Provider Name | Shilpa B Rao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649392994 PECOS PAC ID: 1759564107 Enrollment ID: I20110323000497 |
| Provider Name | Fredy O Chaparro Rojas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154586741 PECOS PAC ID: 1355584921 Enrollment ID: I20161216001053 |
| Provider Name | Mitchell P Sternlieb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457797706 PECOS PAC ID: 3577858273 Enrollment ID: I20170925002904 |
| Provider Name | Travis Moakley Mattingly |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700370137 PECOS PAC ID: 2769730852 Enrollment ID: I20231009000636 |
William R Schetman Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Ste 461 East, Wynnewood, PA 19096 Phone: 610-649-6100 Fax: 610-649-5700 | |
Pradeep Lothe Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 East Lancaster Avenue, Wynnewood House , Suite 105a, Wynnewood, PA 19096 Phone: 610-649-3040 Fax: 610-645-0754 | |
Endeavor Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave # Mobe353, Wynnewood, PA 19096 Phone: 215-880-7342 Fax: 215-318-5050 | |
Daniel C Lazowick Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 461 East, Wynnewood, PA 19096 Phone: 610-649-6100 Fax: 610-649-5700 | |
Deebeanne M Tavani Do Phd Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Mob East Suite 453e, Wynnewood, PA 19096 Phone: 610-896-5170 Fax: 610-896-5640 | |
Murray L. Dorfman, Md,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 City Ave, Suite Wa 105, Wynnewood, PA 19096 Phone: 610-649-5667 Fax: 610-649-8543 | |
Clarke & Gardner Internal Medicine Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 E Lancaster Ave Ste 100, Wynnewood, PA 19096 Phone: 610-649-3456 Fax: 610-642-1740 |