Visavis Health Care Medical Group Of Pennsylvania Pllc | |
30 West Ave Wayne PA 19087-3322 | |
(212) 734-6621 | |
Not Available |
Full Name | Visavis Health Care Medical Group Of Pennsylvania Pllc |
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Speciality | Family Medicine |
Location | 30 West Ave, Wayne, Pennsylvania |
Authorized Official Name and Position | Yitty Falkowitz (OWNER) |
Authorized Official Contact | 2127346621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Visavis Health Care Medical Group Of Pennsylvania Pllc 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 | Visavis Health Care Medical Group Of Pennsylvania Pllc 30 West Ave Wayne PA 19087-3322 Ph: (212) 734-6621 |
NPI Number | 1619688132 |
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Provider Enumeration Date | 12/06/2022 |
Last Update Date | 08/22/2023 |
Medicare PECOS PAC ID | 6305218850 |
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Medicare Enrollment ID | O20230209000021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619688132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cynthia Menzoni |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104963743 PECOS PAC ID: 0345343877 Enrollment ID: I20070321000232 |
Provider Name | Brenda D Mckenzie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336226208 PECOS PAC ID: 9537227657 Enrollment ID: I20081018000096 |
Provider Name | Sherdina Hobson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104153055 PECOS PAC ID: 3173431640 Enrollment ID: I20100306000245 |
Provider Name | Bernadette Sherman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275882292 PECOS PAC ID: 4789813767 Enrollment ID: I20140218000006 |
Provider Name | Jessica Fichter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20150702001400 |
Provider Name | Jodie L Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891248829 PECOS PAC ID: 8628356904 Enrollment ID: I20161021001044 |
Provider Name | Lisa M Sanko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356891790 PECOS PAC ID: 3971883919 Enrollment ID: I20161208000107 |
Provider Name | Julia Didesiderio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20170119000176 |
Provider Name | Jason Bradley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932628484 PECOS PAC ID: 6800154253 Enrollment ID: I20171213001581 |
Provider Name | Jenni Crossley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700393816 PECOS PAC ID: 3870853716 Enrollment ID: I20180214000774 |
Provider Name | Chayna Hardy-reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508331778 PECOS PAC ID: 9133465057 Enrollment ID: I20190115001166 |
Provider Name | Walettra Charmese Enoch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669941027 PECOS PAC ID: 2365875341 Enrollment ID: I20191205000197 |
Provider Name | Tammy L Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639701428 PECOS PAC ID: 9739343690 Enrollment ID: I20200717001923 |
Provider Name | Renee A Conn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043824451 PECOS PAC ID: 4284044553 Enrollment ID: I20201028001525 |
Provider Name | Elizabeth N Piocquidio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811512213 PECOS PAC ID: 9436560836 Enrollment ID: I20201116000590 |
Provider Name | Monifa Thelwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629734298 PECOS PAC ID: 7113227133 Enrollment ID: I20220131000669 |
Provider Name | Ana Hubert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20220224001953 |
Provider Name | Rebekka Lindamood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20220615000712 |
Provider Name | Jessica T Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20221014000309 |
Provider Name | Juliana Hagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215656509 PECOS PAC ID: 7618343021 Enrollment ID: I20221026000094 |
Provider Name | Carissa Marie Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230216002526 |
Provider Name | Mariama Hubbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20230518002466 |
Provider Name | Marie Perkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356686059 PECOS PAC ID: 9931340908 Enrollment ID: I20230606000811 |
Provider Name | Akosua Neferteti Obeng-aduasare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230725004046 |
Provider Name | Ellen Brennan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821729039 PECOS PAC ID: 6305229741 Enrollment ID: I20231004001364 |
Provider Name | Arianna Sanborn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20231204001164 |
Provider Name | Prisca Okwara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942919667 PECOS PAC ID: 4789054529 Enrollment ID: I20231222001065 |
Provider Name | Mariya Tankimovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386937514 PECOS PAC ID: 3375715055 Enrollment ID: I20240514001710 |
Provider Name | Rachael Ofili |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194498014 PECOS PAC ID: 2163820325 Enrollment ID: I20240612000141 |
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