| Eastern Pennsylvania Infectious Disease Associates, Llc | |
|
649 N Lewis Rd Ste 220 Limerick PA 19468-1234 | |
| (610) 481-9600 | |
| Not Available |
| Full Name | Eastern Pennsylvania Infectious Disease Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 649 N Lewis Rd Ste 220, Limerick, Pennsylvania |
| Authorized Official Name and Position | Tara J Nakoa (BILLING COORDINATOR) |
| Authorized Official Contact | 6105964220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Pennsylvania Infectious Disease Associates, Llc 649 N Lewis Rd Ste 220 Royersford PA 19468-1234 Ph: (610) 481-9600 | Eastern Pennsylvania Infectious Disease Associates, Llc 649 N Lewis Rd Ste 220 Limerick PA 19468-1234 Ph: (610) 481-9600 |
| NPI Number | 1588717565 |
|---|---|
| Provider Enumeration Date | 01/21/2007 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 9830293117 |
|---|---|
| Medicare Enrollment ID | O20070326000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588717565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD069250L (Pennsylvania) | Primary |
| Provider Name | Amit Harsh Gangoli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396732996 PECOS PAC ID: 2365415619 Enrollment ID: I20040816001013 |
| Provider Name | Denisse Dececco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710455175 PECOS PAC ID: 2163766189 Enrollment ID: I20181203001455 |
| Provider Name | Noelle Marie Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801456660 PECOS PAC ID: 8628300019 Enrollment ID: I20191105001107 |
| Provider Name | Jennifer N Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114338506 PECOS PAC ID: 6709008154 Enrollment ID: I20200331001952 |
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