| Jeffersonville Family And Geriatric Medicine, Llc | |
|
190 West Germantown Pike Suite 155 East Norriton PA 19401-1383 | |
| (610) 277-9040 | |
| (610) 277-7890 |
| Full Name | Jeffersonville Family And Geriatric Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 190 West Germantown Pike, East Norriton, Pennsylvania |
| Authorized Official Name and Position | William R. Dickerman (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6102779040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffersonville Family And Geriatric Medicine, Llc 190 W Germantown Pike Suite 155 East Norriton PA 19401-1385 Ph: (610) 277-9040 | Jeffersonville Family And Geriatric Medicine, Llc 190 West Germantown Pike Suite 155 East Norriton PA 19401-1383 Ph: (610) 277-9040 |
| NPI Number | 1033359542 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 6406904309 |
|---|---|
| Medicare Enrollment ID | O20090504000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006150L (Pennsylvania) | Primary |
| Provider Name | John D Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942292313 PECOS PAC ID: 2264452747 Enrollment ID: I20051129000602 |
| Provider Name | William R Dickerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668174 PECOS PAC ID: 9234287129 Enrollment ID: I20090504000162 |
| Provider Name | Rocco A Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487966073 PECOS PAC ID: 9032405469 Enrollment ID: I20161207001834 |
| Provider Name | Dawn Cherie Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346716826 PECOS PAC ID: 3173863594 Enrollment ID: I20190322000020 |
| Provider Name | Kristina Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649810839 PECOS PAC ID: 7719308220 Enrollment ID: I20200608002541 |
| Provider Name | Ryan Anne Pishock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972121390 PECOS PAC ID: 7113345927 Enrollment ID: I20200910002077 |
| Provider Name | Meghan M Kohuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447937651 PECOS PAC ID: 8224482229 Enrollment ID: I20230925003161 |
Fornance Hospital Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-7071 Fax: 484-622-4260 | |
Creative Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 W Germantown Pike Ste 1, East Norriton, PA 19401 Phone: 484-687-2990 | |
Mercy Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 W Germantown Pike, East Norriton, PA 19403 Phone: 610-631-2159 Fax: 610-631-7645 | |
Mercy Family Medicine Of East Norriton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 W Germantown Pike, Suite 110, East Norriton, PA 19401 Phone: 610-272-0190 Fax: 610-272-4428 | |
Patient First - East Norriton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 East Germantown Pike, East Norriton, PA 19403 Phone: 610-994-0063 Fax: 610-994-0064 | |
Family Practice Of Jeffersonville, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 W Germantown Pike, Suite 155, East Norriton, PA 19401 Phone: 610-277-9040 Fax: 610-277-7890 |