| Dr Elizabeth A Bradley, MD | |
|
857 Montgomery Ave, Penn Valley, PA 19072-1541 | |
| (610) 664-2951 | |
| (610) 664-2131 |
| Full Name | Dr Elizabeth A Bradley |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 857 Montgomery Ave, Penn Valley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023013513 | NPI | - | NPPES |
| 01862091 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD063085L (Pennsylvania) | Primary |
| Entity Name | Main Line Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415913 PECOS PAC ID: 9830003599 Enrollment ID: O20031117000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth A Bradley, MD 857 Montgomery Ave, Penn Valley, PA 19072-1541 Ph: (610) 664-2951 | Dr Elizabeth A Bradley, MD 857 Montgomery Ave, Penn Valley, PA 19072-1541 Ph: (610) 664-2951 |
Dr. Stephanie A Mcknight, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Montgomery Ave Fl 4, Penn Valley, PA 19072 Phone: 610-668-7992 Fax: 610-668-7991 | |
Binyamin Rothstein, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 954 Montgomery Ave, Penn Valley, PA 19072 Phone: 484-542-6681 | |
Michael B Rosen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 857 Montgomery Ave Fl 1, Penn Valley, PA 19072 Phone: 601-664-2951 |