| Dr Jack I Jallo, MD | |
|
909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 | |
| (215) 955-7000 | |
| (215) 503-9170 |
| Full Name | Dr Jack I Jallo |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 36 Years |
| Location | 909 Walnut St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720076706 | NPI | - | NPPES |
| 001634580 | Medicaid | PA | |
| 7226608 | Medicaid | NJ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Health At Home By Bayada | Philadelphia, PA | Home health agency |
| Jefferson Health At Home By Bayada | Voorhees, NJ | Home health agency |
| Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Magee Rehabilitation Hospital | Philadelphia, PA | Inpatient rehabilitation facility |
| Good Shepherd Penn Partners | Philadelphia, PA | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson University Physicians | 7911819180 | 1528 |
| Jefferson University Physicians Of New Jersey Pc | 9931325131 | 117 |
| Jefferson University Physicians | 7911819180 | 1528 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295011419 PECOS PAC ID: 7911819180 Enrollment ID: O20111212000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack I Jallo, MD 909 Walnut St Fl 2, Philadelphia, PA 19107-5211 Ph: Not Available | Dr Jack I Jallo, MD 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 Ph: (215) 955-7000 |
Dr. Liming Qiu, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Spruce St, 3rd Floor - Suite 302, Philadelphia, PA 19107 Phone: 215-829-6700 Fax: 215-829-6645 |
Alan Balu, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3094 |
Dr. Srinivasa Prasad Venkata Kanuparthi, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7200 Fax: 215-707-3831 |
John Youngkeun Lee, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 3 Silverstein Building, Philadelphia, PA 19104 Phone: 215-662-3487 Fax: 215-349-5534 |
Dr. Nduka Mgbechinyere Amankulor, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 2nd Flr South Pavilion, Philadelphia, PA 19104 Phone: 215-662-3487 Fax: 215-349-5534 |
Kareem Amir Zaghloul, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-3957 |
Dr. Bong-soo Kim, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7200 Fax: 215-707-3831 |