| Keystonecare Palliative Care Program | |
|
8765 Stenton Ave Wyndmoor PA 19038-8317 | |
| (215) 836-2440 | |
| (215) 836-2509 |
| Full Name | Keystonecare Palliative Care Program |
|---|---|
| Speciality | Internal Medicine |
| Location | 8765 Stenton Ave, Wyndmoor, Pennsylvania |
| Authorized Official Name and Position | Gail Inderwies (PRESIDENT) |
| Authorized Official Contact | 2158362440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystonecare Palliative Care Program 8765 Stenton Ave Wyndmoor PA 19038-8317 Ph: (215) 836-2440 | Keystonecare Palliative Care Program 8765 Stenton Ave Wyndmoor PA 19038-8317 Ph: (215) 836-2440 |
| NPI Number | 1912285198 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 3274578240 |
|---|---|
| Medicare Enrollment ID | O20111121000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912285198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
| Provider Name | Russell S Breish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514574 PECOS PAC ID: 4183663966 Enrollment ID: I20050502000165 |
| Provider Name | Mary B Appel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770662975 PECOS PAC ID: 9830113174 Enrollment ID: I20060125000462 |
| Provider Name | Maria J Bertucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457568354 PECOS PAC ID: 9739287343 Enrollment ID: I20070605000640 |
| Provider Name | Stephen C Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083039085 PECOS PAC ID: 1153553524 Enrollment ID: I20140417001087 |
| Provider Name | Marie C Kelly Tralies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588895817 PECOS PAC ID: 8123244837 Enrollment ID: I20150623000970 |
| Provider Name | Elham A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609124585 PECOS PAC ID: 6204136534 Enrollment ID: I20151118001439 |
| Provider Name | Maura Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629443684 PECOS PAC ID: 2264709179 Enrollment ID: I20170525000269 |
| Provider Name | Huma N Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225337058 PECOS PAC ID: 3870721434 Enrollment ID: I20190815002516 |
| Provider Name | Subha Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578154480 PECOS PAC ID: 9638586753 Enrollment ID: I20210407001318 |
| Provider Name | Mallika U. Jois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639745656 PECOS PAC ID: 3375947633 Enrollment ID: I20210809001373 |
| Provider Name | Emma D Harnitchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245016484 PECOS PAC ID: 8426409418 Enrollment ID: I20240103003355 |
| Provider Name | Danika B Dellanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982468112 PECOS PAC ID: 7416394606 Enrollment ID: I20240323000230 |
Kagen & Bardin Associates Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Flourtown Avenue, Suite 6, Wyndmoor, PA 19038 Phone: 215-233-1555 Fax: 215-233-0308 | |
Temple Physicians At Wyndmoor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Flourtown Ave, Wyndmoor, PA 19038 Phone: 215-233-1555 Fax: 215-233-0308 | |
Greenhouse Internists, Pc Wyndhill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Flourtown Ave, Suite 14, Wyndmoor, PA 19038 Phone: 215-242-5000 Fax: 215-242-3951 | |
Northwest Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Flourtown Ave, Suite7, Wyndmoor, PA 19038 Phone: 215-836-5100 Fax: 215-836-6011 | |
James Doghramji, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 E Evergreen Ave, Wyndmoor, PA 19038 Phone: 215-901-1514 |