| Dr Alexandra Medoro, MD | |
| 
					3400 Spruce Street, 8 Ravdin, Philadelphia, PA 19104-4206  | |
| (215) 662-3228 | |
| Not Available | 
| Full Name | Dr Alexandra Medoro | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 3400 Spruce Street, 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 | 
|---|---|---|---|
| 1356735518 | NPI | - | NPPES | 
| 0438168 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD481894 (Pennsylvania) | Secondary | 
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD481894 (Pennsylvania) | Primary | 
| Entity Name | Childrens Health Care Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Alexandra Medoro, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (440) 821-5835  | Dr Alexandra Medoro, MD 3400 Spruce Street, 8 Ravdin, Philadelphia, PA 19104-4206 Ph: (215) 662-3228  | 
Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800  | |
Brian Lestini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34th & Civic Center Blvd, Children's Hospital Of Philadelphia, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-590-2204  | |
Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831  | |
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795  | |
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810  | |
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000  | |
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220  |