| Family Practice Of Willow Grove | |
|
221 Davisville Rd Willow Grove PA 19090-3332 | |
| (215) 659-3220 | |
| (215) 659-8967 |
| Full Name | Family Practice Of Willow Grove |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Davisville Rd, Willow Grove, 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 |
|---|---|
| Family Practice Of Willow Grove Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 659-3220 | Family Practice Of Willow Grove 221 Davisville Rd Willow Grove PA 19090-3332 Ph: (215) 659-3220 |
| NPI Number | 1154376739 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20040114000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154376739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry S Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528064094 PECOS PAC ID: 7517868037 Enrollment ID: I20040117000079 |
| Provider Name | Anne Tenthoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669676797 PECOS PAC ID: 0749389831 Enrollment ID: I20070702000309 |
| Provider Name | Joseph P Lewcun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457463648 PECOS PAC ID: 8325210685 Enrollment ID: I20111010000106 |
| Provider Name | Nathan Lent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174934046 PECOS PAC ID: 4981821261 Enrollment ID: I20170619002757 |
| Provider Name | Figen Yildiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553470 PECOS PAC ID: 5698015717 Enrollment ID: I20190327000644 |
| Provider Name | Aparna Krishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124416474 PECOS PAC ID: 2062740749 Enrollment ID: I20221019000610 |
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