| Pennsylvania Physicians Services, Llc | |
|
209 W Lancaster Ave Paoli PA 19301-1749 | |
| (610) 644-2382 | |
| (610) 644-7517 |
| Full Name | Pennsylvania Physicians Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 209 W Lancaster Ave, Paoli, Pennsylvania |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsylvania Physicians Services, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Pennsylvania Physicians Services, Llc 209 W Lancaster Ave Paoli PA 19301-1749 Ph: (610) 644-2382 |
| NPI Number | 1265711824 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 4880924612 |
|---|---|
| Medicare Enrollment ID | O20190923000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265711824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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