| Innovative Medical Associates, Llc | |
|
400 Baileys Run Ln Springfield PA 19064-2143 | |
| (610) 505-8350 | |
| (610) 675-1775 |
| Full Name | Innovative Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Baileys Run Ln, Springfield, Pennsylvania |
| Authorized Official Name and Position | Kelli Yacono (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6105058350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Associates, Llc 400 Baileys Run Ln Springfield PA 19064-2143 Ph: () - | Innovative Medical Associates, Llc 400 Baileys Run Ln Springfield PA 19064-2143 Ph: (610) 505-8350 |
| NPI Number | 1922422849 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 02/12/2014 |
| Medicare PECOS PAC ID | 2769615798 |
|---|---|
| Medicare Enrollment ID | O20140429000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922422849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS014411 (Pennsylvania) | Primary |
| Provider Name | Kelli Yacono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578721965 PECOS PAC ID: 2567520216 Enrollment ID: I20081023000790 |
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