<unavail> in Philadelphia, PA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Philadelphia, Pennsylvania. The current practice location for is 1740 South Street, Suite 300, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (215) 732-0876. The mailing address for is 1740 South St Ste 402, Philadelphia, Pennsylvania and phone number is (215) 732-0876.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568420495. 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) 732-0876.

Contact Information


	1740 South Street Suite 300 Philadelphia PA 19146-1514
	(215) 732-0876
	(215) 732-1383

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	1740 South Street, Philadelphia, Pennsylvania
Authorized Official Name and Position	Wilbert Roy Warren (PRESIDENT)
Authorized Official Contact	2157320876
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1740 South St Ste 402 Philadelphia PA 19146-1514 Ph: (215) 732-0876	1740 South Street Suite 300 Philadelphia PA 19146-1514 Ph: (215) 732-0876

NPI Details:

NPI Number	1568420495
Provider Enumeration Date	05/02/2006
Last Update Date	10/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7214900117
Medicare Enrollment ID	O20040818000816

Medical Identifiers

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

Identifier	Type	State	Issuer
1568420495	NPI	-	NPPES
0018443260005	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

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	Wilbert Roy Warren
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1548228489 PECOS PAC ID: 4486658234 Enrollment ID: I20110916000166

Reviews and Comments

Internal Medicine in Philadelphia, PA

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- Medicare Primary Care in Philadelphia, PA