Stacey A Summers, | |
1601 Walnut St Ste 1017, Philadelphia, PA 19102-2906 | |
(215) 564-0488 | |
(215) 564-1245 |
Full Name | Stacey A Summers |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 20 Years |
Location | 1601 Walnut St Ste 1017, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023290236 | NPI | - | NPPES |
1017489680001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS015838 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Senior Care Therapy Of Pennsylvania Pc | 2264791268 | 13 |
Entity Name | Senior Care Therapy Of Pennsylvania Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003320672 PECOS PAC ID: 2264791268 Enrollment ID: O20180122000153 |
Mailing Address | Practice Location Address |
---|---|
Stacey A Summers, 1601 Walnut St Ste 1017, Philadelphia, PA 19102-2906 Ph: (215) 564-0488 | Stacey A Summers, 1601 Walnut St Ste 1017, Philadelphia, PA 19102-2906 Ph: (215) 564-0488 |
Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387 | |
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584 | |
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011 | |
Dr. Melisa English Moore, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387 | |
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210 | |
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114 | |
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076 |