| Manos Family Practice Pc | |
|
915 Old Fern Hill Rd Building D Suite 500 West Chester PA 19380-4269 | |
| (610) 235-4100 | |
| (610) 235-4107 |
| Full Name | Manos Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 915 Old Fern Hill Rd, West Chester, Pennsylvania |
| Authorized Official Name and Position | Antoninus Joseph Manos (PRESIDENT) |
| Authorized Official Contact | 6102354100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manos Family Practice Pc 915 Old Fern Hill Rd Building D Suite 500 West Chester PA 19380-4269 Ph: (610) 235-4100 | Manos Family Practice Pc 915 Old Fern Hill Rd Building D Suite 500 West Chester PA 19380-4269 Ph: (610) 235-4100 |
| NPI Number | 1801978010 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/08/2008 |
| Medicare PECOS PAC ID | 4486638533 |
|---|---|
| Medicare Enrollment ID | O20040616000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801978010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS006148L (Pennsylvania) | Primary |
| Provider Name | Antoninus Joseph Manos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588325 PECOS PAC ID: 1557345600 Enrollment ID: I20040616000269 |
| Provider Name | Kellie A Mellon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553332 PECOS PAC ID: 7214161629 Enrollment ID: I20131017001002 |
| Provider Name | Valerie G Vilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316207293 PECOS PAC ID: 3072822162 Enrollment ID: I20151012000036 |
| Provider Name | Nicole M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578960118 PECOS PAC ID: 9234448192 Enrollment ID: I20151016000866 |
| Provider Name | Meg Garelick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326407065 PECOS PAC ID: 6103112925 Enrollment ID: I20160902001720 |
| Provider Name | Josemi Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316545502 PECOS PAC ID: 4284033374 Enrollment ID: I20210521000885 |
| Provider Name | Jessica Stillabower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740823442 PECOS PAC ID: 0547665945 Enrollment ID: I20210824000686 |
| Provider Name | Martin C Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295471225 PECOS PAC ID: 4880071331 Enrollment ID: I20220523000772 |
| Provider Name | Kelseylynn Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518605278 PECOS PAC ID: 8527423805 Enrollment ID: I20230421000239 |
| Provider Name | Travis Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639943004 PECOS PAC ID: 5597116897 Enrollment ID: I20240111001430 |
| Provider Name | Amy Knickerbocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209031 PECOS PAC ID: 8527306505 Enrollment ID: I20240126003224 |
Main Line Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1450 E Boot Rd, Ste. 200a, West Chester, PA 19380 Phone: 610-296-2760 | |
Susan Dallas-feeney, D.o., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42-46 East Strreet Road, West Chester, PA 19382 Phone: 610-399-1100 Fax: 610-399-1393 | |
Lyons Chvala Nephrology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 N Franklin St Ste 3, West Chester, PA 19380 Phone: 610-696-4956 Fax: 610-696-5263 | |
Helise Bichefsky, Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 E Marshall St, Suite 303, West Chester, PA 19380 Phone: 610-436-1584 Fax: 610-436-9057 | |
Ira M Thal, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E Boot Rd, West Chester, PA 19380 Phone: 610-692-7766 Fax: 610-918-9065 | |
Tppw. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 W Chester Pike Ste 32, West Chester, PA 19382 Phone: 484-381-0351 Fax: 610-672-7174 | |
Ellis & Sitkoff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 Lincoln Ave Ste A, West Chester, PA 19380 Phone: 610-241-0305 |