Michael James Qaqish, | |
100 E Lancaster Ave, Mob South Suite 422, Wynnewood, PA 19096-3450 | |
(484) 476-2169 | |
Not Available |
Full Name | Michael James Qaqish |
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Gender | Male |
Speciality | Surgery |
Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548657596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 28208078 (Pennsylvania) | Primary |
Entity Name | St Lukes Warren Physician Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467725184 PECOS PAC ID: 9739093675 Enrollment ID: O20031117000020 |
Mailing Address | Practice Location Address |
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Michael James Qaqish, 1124 Tremont Cir, Whitehall, PA 18052-6931 Ph: () - | Michael James Qaqish, 100 E Lancaster Ave, Mob South Suite 422, Wynnewood, PA 19096-3450 Ph: (484) 476-2169 |
Dr. Robert D. Smink Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 | |
Arvind Sabesan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 610-642-1908 | |
Dr. Thais Reif De Paula, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Mob South 422, Wynnewood, PA 19096 Phone: 484-476-1619 Fax: 484-476-3354 | |
Pranjal Thosani, DO Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Dr. W Randall Russell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096 Phone: 484-476-6492 Fax: 484-476-8147 | |
Dr. Barry D Mann, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 275 Med Sci Bldg, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 | |
Dr. Shari Nolana Reid-gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 845-720-1714 Fax: 484-476-1395 |