| Green And Seidner Family Practice Associates Pc | |
|
826 N. Broad Street Lansdale PA 19446 | |
| (215) 855-1054 | |
| (215) 361-7445 |
| Full Name | Green And Seidner Family Practice Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 826 N. Broad Street, Lansdale, Pennsylvania |
| Authorized Official Name and Position | Renee Backer (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2158551054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green And Seidner Family Practice Associates Pc 826 N. Broad Street Lansdale PA 19446 Ph: (215) 855-1054 | Green And Seidner Family Practice Associates Pc 826 N. Broad Street Lansdale PA 19446 Ph: (215) 855-1054 |
| NPI Number | 1962420935 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 8123001872 |
|---|---|
| Medicare Enrollment ID | O20040611001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962420935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD014269E (Pennsylvania) | Primary |
| Provider Name | Sandra Jane Knudsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235136078 PECOS PAC ID: 6103866215 Enrollment ID: I20050509000518 |
| Provider Name | Leslie Morgan Rougeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538151774 PECOS PAC ID: 3577667963 Enrollment ID: I20070323000365 |
| Provider Name | Susan Heather Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962409227 PECOS PAC ID: 5193853745 Enrollment ID: I20100503000477 |
| Provider Name | Anthony R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265430870 PECOS PAC ID: 3072531441 Enrollment ID: I20100611000729 |
| Provider Name | Jennifer L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093050759 PECOS PAC ID: 6901050434 Enrollment ID: I20130208000084 |
| Provider Name | Lisa Marie Stringfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285044339 PECOS PAC ID: 9032337779 Enrollment ID: I20140821002172 |
| Provider Name | Phelps James Peter Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083059406 PECOS PAC ID: 6103114079 Enrollment ID: I20161007001670 |
| Provider Name | Orli Gal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275254237 PECOS PAC ID: 1254717218 Enrollment ID: I20220929000596 |
| Provider Name | Alex S Fierstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598392565 PECOS PAC ID: 7911337621 Enrollment ID: I20230715000749 |
| Provider Name | Jamila Gummo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023882537 PECOS PAC ID: 4183075195 Enrollment ID: I20240103003989 |
| Provider Name | Deanna Antoinette Cavallaro Fatzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437924867 PECOS PAC ID: 2860845096 Enrollment ID: I20240124002281 |
| Provider Name | Marissa F Norden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982280871 PECOS PAC ID: 7810396207 Enrollment ID: I20240516002149 |
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