| Wyncote Family Medicine | |
|
8101 Washington Ln Suite 101 Wyncote PA 19095-1625 | |
| (215) 886-0440 | |
| (215) 886-0447 |
| Full Name | Wyncote Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 8101 Washington Ln, Wyncote, Pennsylvania |
| Authorized Official Name and Position | Michael B Walsh (SENIOR VP FINANCE) |
| Authorized Official Contact | 2154812850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyncote Family Medicine Po Box 826594 Philadelphia PA 19182-6594 Ph: (215) 481-3900 | Wyncote Family Medicine 8101 Washington Ln Suite 101 Wyncote PA 19095-1625 Ph: (215) 886-0440 |
| NPI Number | 1821037730 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 3274437736 |
|---|---|
| Medicare Enrollment ID | O20061201000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821037730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth S Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087877 PECOS PAC ID: 0345248282 Enrollment ID: I20061201000152 |
| Provider Name | Warren B Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689623233 PECOS PAC ID: 5799783635 Enrollment ID: I20061201000157 |
| Provider Name | Brent C Beddis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962723148 PECOS PAC ID: 3971751066 Enrollment ID: I20130913000134 |
| Provider Name | Nathan Lent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174934046 PECOS PAC ID: 4981821261 Enrollment ID: I20170619002757 |
| Provider Name | Renell S Dupree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821409764 PECOS PAC ID: 9335366699 Enrollment ID: I20170726001508 |
| Provider Name | Tiffany M Lake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376922849 PECOS PAC ID: 0749593929 Enrollment ID: I20180823000094 |
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