| Pennsylvania Internal Medicine & Geriatrics Pc | |
|
9503 State Rd Philadelphia PA 19114-3034 | |
| (215) 637-0102 | |
| (215) 281-0464 |
| Full Name | Pennsylvania Internal Medicine & Geriatrics Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 9503 State Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Herbert M Bergman (PHYSICIAN) |
| Authorized Official Contact | 2156370102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Internal Medicine & Geriatrics Pc 9501 Hilspach St Philadelphia PA 19115-3918 Ph: (215) 637-0102 | Pennsylvania Internal Medicine & Geriatrics Pc 9503 State Rd Philadelphia PA 19114-3034 Ph: (215) 637-0102 |
| NPI Number | 1134365620 |
|---|---|
| Provider Enumeration Date | 01/05/2009 |
| Last Update Date | 10/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134365620 | NPI | - | NPPES |
| 000592556 | Medicaid | PA | |
| 835253 | Other | PA | AETNA INSURANCE |
| 0053907001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 110026458 | Other | PA | PALMETTO GBA MEDICARE RAILROAD |
| 129328701 | Other | PA | UNITED HEALTHCARE |
| 035806 | Other | PA | HIGHMARK MEDICARE SERVICES |
| 19361 | Other | PA | BRAVO HEALTHCRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD012582E (Pennsylvania) | Primary |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |
Drexel Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6555 Fax: 215-762-3031 |