| |
1717 Langhorne Newtown Rd Ste 402 Langhorne PA 19047-1086 | |
(215) 750-7000 | |
(215) 750-9572 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1717 Langhorne Newtown Rd Ste 402, Langhorne, Pennsylvania |
Authorized Official Name and Position | Valeri Koganski (OWNER) |
Authorized Official Contact | 2157507000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1717 Langhorne Newtown Rd Ste 402 Langhorne PA 19047-1086 Ph: (215) 750-7000 | 1717 Langhorne Newtown Rd Ste 402 Langhorne PA 19047-1086 Ph: (215) 750-7000 |
NPI Number | 1093864043 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 12/30/2021 |
Medicare PECOS PAC ID | 4880632686 |
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Medicare Enrollment ID | O20050421001191 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093864043 | NPI | - | NPPES |
6121985 | Other | PA | CIGNA |
H706318 | Other | PA | AETNA |
0016014800004 | Medicaid | PA | |
1090692 | Other | PA | KEYSTONE MERCY |
2119889000 | Other | PA | INDEPENDENCE BLUE CROSS |
1432525 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Valeri Koganski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285696948 PECOS PAC ID: 9739134156 Enrollment ID: I20050318000521 |
Provider Name | Marika W Hartman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578868659 PECOS PAC ID: 0648456723 Enrollment ID: I20110526000100 |
Oxygen Oasis Hyperbaric Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 848 Town Center Dr, Langhorne, PA 19047 Phone: 215-603-8225 | |