| Kenneth R Lander M.d. P.c. | |
|
30 Medical Center Blvd Suite 202 Chester PA 19013-3955 | |
| (610) 447-8840 | |
| (610) 447-8895 |
| Full Name | Kenneth R Lander M.d. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Medical Center Blvd, Chester, Pennsylvania |
| Authorized Official Name and Position | Kenneth R Lander (CEO/PRESIDENT) |
| Authorized Official Contact | 6104478840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Lander M.d. P.c. 30 Medical Center Blvd Suite 202 Chester PA 19013-3955 Ph: (610) 447-8840 | Kenneth R Lander M.d. P.c. 30 Medical Center Blvd Suite 202 Chester PA 19013-3955 Ph: (610) 447-8840 |
| NPI Number | 1144276114 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325000334 |
|---|---|
| Medicare Enrollment ID | O20041102000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144276114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Lander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154318988 PECOS PAC ID: 6305808312 Enrollment ID: I20041103000149 |
| Provider Name | Erin M Mannella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215250758 PECOS PAC ID: 6103954334 Enrollment ID: I20100510000509 |
Crozer-chester Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-447-2000 Fax: 610-447-6620 | |
Crozer Chester Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Acp 332, Chester, PA 19013 Phone: 610-447-7612 Fax: 610-447-7615 | |
Health Access Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Pob Ii Suite 424, Chester, PA 19013 Phone: 610-338-1820 Fax: 610-388-1825 | |
Crozer Gastroenterology Associates Upland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Acp Suite 231, Chester, PA 19013 Phone: 610-619-7475 Fax: 610-619-7477 | |
Crozer Chester Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Acp 332, Chester, PA 19013 Phone: 610-447-7612 Fax: 610-447-7615 | |
Crozer-chester Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th Street, Chester, PA 19013 Phone: 610-447-2000 Fax: 610-447-6620 |