|
| |
|
2913-15 Kensington Ave Philadelphia PA 19134-3016 | |
| (609) 505-9287 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2913-15 Kensington Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Silvana Mazzella (INTERIM LEAD EXECUTIVE OFFICIER) |
| Authorized Official Contact | 2159755419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2913-15 Kensington Ave Philadelphia PA 19134-3016 Ph: (156) 342-5272 | 2913-15 Kensington Ave Philadelphia PA 19134-3016 Ph: (609) 505-9287 |
| NPI Number | 1679043152 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 06/20/2024 |
| Medicare PECOS PAC ID | 6901347251 |
|---|---|
| Medicare Enrollment ID | O20240926001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679043152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David M Barclay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396733325 PECOS PAC ID: 0042115289 Enrollment ID: I20031202000083 |
| Provider Name | Monika Vansant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441683 PECOS PAC ID: 7012986771 Enrollment ID: I20040929000506 |
| Provider Name | Serge-emile Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477626620 PECOS PAC ID: 2466551429 Enrollment ID: I20080507000585 |
| Provider Name | Jessica Ann Meisner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124465653 PECOS PAC ID: 9638427412 Enrollment ID: I20180810000990 |
| Provider Name | Kristi A Petrillo Straub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871227 PECOS PAC ID: 0749712883 Enrollment ID: I20241015001318 |
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 | |