Integrated Wound Care Pennsylvania Pllc - Medicare Primary Care in Philadelphia, PA

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Integrated Wound Care Pennsylvania Pllc is a medicare enrolled primary clinic (General Practice) in Philadelphia, Pennsylvania. The current practice location for Integrated Wound Care Pennsylvania Pllc is 4400 W Girard Ave, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (718) 705-6010. The mailing address for Integrated Wound Care Pennsylvania Pllc is 492c Cedar Ln Ste 514, Teaneck, New Jersey and phone number is (718) 705-6010.

Integrated Wound Care Pennsylvania Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447722863. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 705-6010.

Contact Information

Integrated Wound Care Pennsylvania Pllc
4400 W Girard Ave
Philadelphia
PA 19104-1002
(718) 705-6010
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIntegrated Wound Care Pennsylvania Pllc
SpecialityGeneral Practice
Location4400 W Girard Ave, Philadelphia, Pennsylvania
Authorized Official Name and PositionDiane Lusa (PRESIDENT)
Authorized Official Contact7187056010
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Integrated Wound Care Pennsylvania Pllc
492c Cedar Ln Ste 514
Teaneck
NJ 07666-1713

Ph: (718) 705-6010		Integrated Wound Care Pennsylvania Pllc
4400 W Girard Ave
Philadelphia
PA 19104-1002

Ph: (718) 705-6010

NPI Details:

NPI Number1447722863
Provider Enumeration Date12/24/2018
Last Update Date02/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5294075362
Medicare Enrollment IDO20190327002946

Medical Identifiers

Medical identifiers for Integrated Wound Care Pennsylvania Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447722863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wound Care Pennsylvania Pllc acts as a billing entity for following providers:
Provider NameCatharine M Hogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275542763
PECOS PAC ID: 9830094754
Enrollment ID: I20031204000289
Provider NameJanice Baehr Rosenbaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578767372
PECOS PAC ID: 8527034479
Enrollment ID: I20040902000768
Provider NameJeremy Jason Teppig
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134344740
PECOS PAC ID: 7012001779
Enrollment ID: I20070926000157
Provider NameSylvia Murphy Mccray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215338942
PECOS PAC ID: 2961624135
Enrollment ID: I20141104001659
Provider NameAnna Psillos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649669508
PECOS PAC ID: 9436476439
Enrollment ID: I20150401001514
Provider NameKatrina L Amsler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619351855
PECOS PAC ID: 2264748698
Enrollment ID: I20150901000214
Provider NameSarah M Magula
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407182447
PECOS PAC ID: 2860770161
Enrollment ID: I20161020000782
Provider NameGabrielle Benner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679027726
PECOS PAC ID: 5597043422
Enrollment ID: I20161028000119
Provider NameLisa Makrides
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1508861014
PECOS PAC ID: 3375432826
Enrollment ID: I20170630000414
Provider NameLori A Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508387929
PECOS PAC ID: 6204109564
Enrollment ID: I20170907003139
Provider NameChristopher Lohr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831615251
PECOS PAC ID: 6305111956
Enrollment ID: I20171006001273
Provider NameDiane Lusas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730475658
PECOS PAC ID: 9032430640
Enrollment ID: I20171020000404
Provider NameCarolyn Falzone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881164606
PECOS PAC ID: 3971849217
Enrollment ID: I20190108002447
Provider NameAlexander Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326502774
PECOS PAC ID: 1951635002
Enrollment ID: I20190625000432
Provider NameVito James Zaccheo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275090029
PECOS PAC ID: 5597191528
Enrollment ID: I20200211000040
Provider NameMegan Alane Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982234886
PECOS PAC ID: 2668800616
Enrollment ID: I20200325001550
Provider NameNoelle James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316523541
PECOS PAC ID: 2567854714
Enrollment ID: I20220119003150
Provider NameErica Peraino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770192155
PECOS PAC ID: 4486020203
Enrollment ID: I20221019003023
Provider NamePatrice Carver Cash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720624539
PECOS PAC ID: 0547637126
Enrollment ID: I20221110003279
Provider NameStephanie Bowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184931909
PECOS PAC ID: 3375781875
Enrollment ID: I20230815002931
Provider NameBrisa M Lobb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922879097
PECOS PAC ID: 0749633493
Enrollment ID: I20240129003980
Provider NameAdreena Finks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518789387
PECOS PAC ID: 9931634409
Enrollment ID: I20241120002179

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.