King Of Prussia Family Medicine | |
210 Mall Blvd Ste 102 King Of Prussia PA 19406-3260 | |
(610) 265-0726 | |
(610) 265-3132 |
Full Name | King Of Prussia Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 210 Mall Blvd Ste 102, King Of Prussia, Pennsylvania |
Authorized Official Name and Position | Suzanne Rice (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 4846227371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
King Of Prussia Family Medicine Po Box 789967 Philadelphia PA 19178-9967 Ph: (484) 622-7395 | King Of Prussia Family Medicine 210 Mall Blvd Ste 102 King Of Prussia PA 19406-3260 Ph: (610) 265-0726 |
NPI Number | 1831146919 |
---|---|
Provider Enumeration Date | 05/27/2006 |
Last Update Date | 11/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831146919 | NPI | - | NPPES |
1112971 | Other | PA | KEYSTONE MERCY |
CI4349 | Other | PA | RRM |
0418121001 | Other | PA | IBC - PC/KHPE |
1738323 | Medicaid | PA | |
26575 | Other | PA | HEALTH PARTNERS SITE # |
5242713 | Other | PA | AETNA PPO |
0418121001 | Other | PA | AMERIHEALTH/INTERCOUNTY |
639587 | Other | PA | HIGHMARK BLUE SHIELD |
2047128 | Other | PA | AETNA HMO |
6522623 | Other | PA | CIGNA HMO/PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Live Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Town Center Rd, King Of Prussia, PA 19406 Phone: 484-750-5212 | |
Vascular Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 N Henderson Rd, Suite 302, King Of Prussia, PA 19406 Phone: 610-265-8700 Fax: 610-265-1868 | |
Altria Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 W Church Rd, King Of Prussia, PA 19406 Phone: 610-792-8425 | |
Pennsylvania Union Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Clark Avenue, Suite 17a, King Of Prussia, PA 19406 Phone: 610-768-7168 Fax: 610-768-7169 | |
Main Line Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Henderson Rd Ste 308c, King Of Prussia, PA 19406 Phone: 610-337-3111 Fax: 610-233-1272 | |
Live Family Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Town Center Rd, King Of Prussia, PA 19406 Phone: 484-750-5212 | |
Kremer Laser Eye Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Mall Blvd, King Of Prussia, PA 19406 Phone: 610-337-1580 |