<unavail> in Glenside, PA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Glenside, Pennsylvania. The current practice location for is 805 E Willow Grove Ave Ste 1c, Glenside, Pennsylvania. For appointments, you can reach them via phone at (215) 870-4144. The mailing address for is 407 Highgate Dr, Ambler, Pennsylvania and phone number is (215) 870-4144.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699834705. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (215) 870-4144.

Contact Information


	805 E Willow Grove Ave Ste 1c Glenside PA 19038-7968
	(215) 870-4144
	(215) 793-4488

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	805 E Willow Grove Ave Ste 1c, Glenside, Pennsylvania
Authorized Official Name and Position	Michael M Milbourne (PRESIDENT)
Authorized Official Contact	2158704144
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
407 Highgate Dr Ambler PA 19002-1559 Ph: (215) 870-4144	805 E Willow Grove Ave Ste 1c Glenside PA 19038-7968 Ph: (215) 870-4144

NPI Details:

NPI Number	1699834705
Provider Enumeration Date	12/06/2006
Last Update Date	05/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2264431717
Medicare Enrollment ID	O20061211000031

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699834705	NPI	-	NPPES
30036888	Other	PA	KEYSTONE MERCY
4206	Other	PA	BRAVO
2793777000	Other	PA	AMERIHEALTH
7176947	Other	PA	AETNA
2793777000	Other	PA	KEYSTONE HEALTH PLAN EAST (IBC)
2793777000	Other	PA	PERSONAL CHOICE
001924524	Other	PA	BSPA
7185016	Other	PA	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	(* (Not Available))	Secondary
207UN0901X	Nuclear Medicine - Nuclear Cardiology	(* (Not Available))	Secondary
261QM2500X	Clinic/center - Medical Specialty	MD050825L (Pennsylvania)	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Michael W Milbourne
Provider Type	Practitioner - Cardiovascular Disease (cardiology)
Provider Identifiers	NPI Number: 1255399366 PECOS PAC ID: 7113829938 Enrollment ID: I20040122000896

Reviews and Comments

Internal Medicine in Glenside, PA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E Willow Grove Ave # 19038, Glenside, PA 19038 Phone: 215-966-1546 Fax: 215-764-5472
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- Medicare Primary Care in Glenside, PA