| Dr Alan W Flake, MD | |
|
34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4306 | |
| (215) 590-2730 | |
| (215) 590-4875 |
| Full Name | Dr Alan W Flake |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 34th & Civic Center Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528149697 | NPI | - | NPPES |
| 001512961 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD059803L (Pennsylvania) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | MD059803L (Pennsylvania) | Primary |
| Entity Name | Children's Surgical Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan W Flake, MD 100 E Penn Sq, The Wanamaker Building 9th Fl, Philadelphia, PA 19107-3323 Ph: (267) 425-9538 | Dr Alan W Flake, MD 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104-4306 Ph: (215) 590-2730 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-2208 Fax: 267-425-9552 | |
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
James Sun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-854-9799 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 |