Dr Gary Wayne Nace, MD | |
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
(215) 590-2730 | |
(267) 425-9552 |
Full Name | Dr Gary Wayne Nace |
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Gender | Male |
Speciality | Surgery |
Location | 3401 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 |
---|---|---|---|
1982869079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD439406 (Pennsylvania) | Primary |
Entity Name | Cooper Surgical Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
Entity Name | Cooper Pediatric Specialists, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 |
Mailing Address | Practice Location Address |
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Dr Gary Wayne Nace, MD 205 Hazel Dr, Pittsburgh, PA 15228-2149 Ph: (412) 329-4242 | Dr Gary Wayne Nace, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 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 | |
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
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 | |
Nestor Esnaola, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-3945 | |
Niels Douglas Martin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Medical Office Building, 1st Floor, Suite 120, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 215-243-4605 |