Dr Lee G Dante, MD | |
321 Berkeley Rd, Merion Station, PA 19066-1403 | |
(610) 667-5448 | |
(610) 667-8117 |
Full Name | Dr Lee G Dante |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 321 Berkeley Rd, Merion Station, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649483678 | NPI | - | NPPES |
MD014206E | Other | PA | STATE LICENSE |
D29330 | Other | MD | STATE LICENSE |
297501700 | Medicaid | MD | |
35415502 | Other | PA | BC BS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD014206E (Pennsylvania) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | D29330 (Maryland) | Secondary |
Entity Name | Lee G Dante Mdpa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851504880 PECOS PAC ID: 0840238960 Enrollment ID: O20050420000177 |
Mailing Address | Practice Location Address |
---|---|
Dr Lee G Dante, MD 321 Berkeley Rd, Merion Station, PA 19066-1403 Ph: (610) 667-5448 | Dr Lee G Dante, MD 321 Berkeley Rd, Merion Station, PA 19066-1403 Ph: (610) 667-5448 |
Dr. Jay S Bonovitz, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 214 Derwen Rd, Merion Station, PA 19066 Phone: 610-664-3785 Fax: 610-664-5647 | |
Dr. Janice Elayne Horowitz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 488 Merion Rd, Merion Station, PA 19066 Phone: 610-667-4997 Fax: 610-667-3929 | |
David Stuart Tabby, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 217 Springhouse Ln, Merion Station, PA 19066 Phone: 610-635-8520 Fax: 610-546-7604 | |
Dr. Robert D Polishook, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 563 Heath Rd, Merion Station, PA 19066 Phone: 610-667-5435 Fax: 610-667-1177 | |
Dr. Ellen M Berman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 321 Mallwyd Rd, Merion Station, PA 19066 Phone: 610-667-4617 Fax: 215-893-4388 |