| Mercy Medical Associates At Providence | |
|
831 Providence Rd Secane PA 19018-2921 | |
| (610) 934-1234 | |
| (610) 934-4811 |
| Full Name | Mercy Medical Associates At Providence |
|---|---|
| Speciality | Internal Medicine |
| Location | 831 Providence Rd, Secane, Pennsylvania |
| Authorized Official Name and Position | Douglas C Smith (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 6105676964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Associates At Providence 1 W Elm St 2nd Floor Conshohocken PA 19428-2007 Ph: (610) 567-6964 | Mercy Medical Associates At Providence 831 Providence Rd Secane PA 19018-2921 Ph: (610) 934-1234 |
| NPI Number | 1598755340 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598755340 | NPI | - | NPPES |
| 1007787930172 | Medicaid | PA | |
| 2455345001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 37229 | Other | PA | HEALTHPARTNERS |
| 30035743 | Other | PA | KEYSTONE MERCY HEALTHPLAN |
| 1147948 | Other | PA | AETNA HMO PPO |
| 1772599 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Thma Mg Primary Care Secane Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Providence Rd Ste 8/9, Secane, PA 19018 Phone: 610-394-1234 Fax: 610-284-4811 |