| Pennsbury Medical Practice, P.c. | |
|
201 Woolston Drive Suite 1e Morrisville PA 19067 | |
| (215) 736-2508 | |
| (215) 736-0744 |
| Full Name | Pennsbury Medical Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Woolston Drive, Morrisville, Pennsylvania |
| Authorized Official Name and Position | David J Miller (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 2157362508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsbury Medical Practice, P.c. 201 Woolston Drive Suite 1e Morrisville PA 19067 Ph: (215) 736-2508 | Pennsbury Medical Practice, P.c. 201 Woolston Drive Suite 1e Morrisville PA 19067 Ph: (215) 736-2508 |
| NPI Number | 1790703593 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 2062591001 |
|---|---|
| Medicare Enrollment ID | O20080502000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790703593 | NPI | - | NPPES |
| 0017998840001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS003138L (Pennsylvania) | Primary |
| Provider Name | David J Miller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851305320 PECOS PAC ID: 1456439264 Enrollment ID: I20080419000014 |
Morrisville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Bridge Street, Morrisville, PA 19067 Phone: 215-295-7555 Fax: 215-295-3685 | |
Morrisville-yardley Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W Trenton Ave, Suite 4, Morrisville, PA 19067 Phone: 215-736-9362 Fax: 215-736-8050 |