| Carrie Ann R Cusack, MD | |
|
219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 | |
| (215) 762-5550 | |
| (215) 762-5570 |
| Full Name | Carrie Ann R Cusack |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 219 N Broad St, 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 |
|---|---|---|---|
| 1649238775 | NPI | - | NPPES |
| 001967148 | Medicaid | PA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooper University Hospital | Camden, NJ | Hospital |
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Associates Of South Jersey, L.l.c. | 7113016858 | 6 |
| Entity Name | Dermatology Associates Of South Jersey, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699960096 PECOS PAC ID: 7113016858 Enrollment ID: O20071204000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Ann R Cusack, MD 1601 Cherry St, Suite 11511, Philadelphia, PA 19102-1320 Ph: (215) 255-7822 | Carrie Ann R Cusack, MD 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 Ph: (215) 762-5550 |
Dr. Nicholas Kian Mollanazar, MD, MBA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce Street, 10th Floor, Philadelphia, PA 19107 Phone: 941-718-8997 | |
Dr. Melinda Jen, M.D Dermatology Medicare: Medicare Enrolled Practice Location: 3550 Market St Fl 2, Children's Hospital Of Philadelphia - Dermatology Div, Philadelphia, PA 19104 Phone: 215-590-9119 Fax: 215-590-4948 | |
Vanessa Ayumi London, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9501 Roosevelt Blvd, Suite 508, Philadelphia, PA 19114 Phone: 215-464-7400 Fax: 215-464-8680 | |
Stephen David Hess, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Walnut St, Suite 1240, Philadelphia, PA 19102 Phone: 267-687-4437 | |
Dr. Douglas Kligman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118 Phone: 215-242-4680 Fax: 215-242-3938 | |
Shobana Sood, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-349-8339 | |
Juliana Kim Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Spruce St, 2 Maloney Bldg, Philadelphia, PA 19104 Phone: 215-662-6151 |