| Dr Lee G Dante, MD | |
| 321 Berkeley Rd, Merion Station, PA 19066-1403 | |
| (610) 667-5448 | |
| (610) 667-8117 | 
| Full Name | Dr Lee G Dante | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 321 Berkeley Rd, Merion Station, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649483678 | NPI | - | NPPES | 
| MD014206E | Other | PA | STATE LICENSE | 
| D29330 | Other | MD | STATE LICENSE | 
| 297501700 | Medicaid | MD | |
| 35415502 | Other | PA | BC BS PROVIDER # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD014206E (Pennsylvania) | Primary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D29330 (Maryland) | Secondary | 
| Entity Name | Lee G Dante Mdpa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851504880 PECOS PAC ID: 0840238960 Enrollment ID: O20050420000177 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lee G Dante, MD 321 Berkeley Rd, Merion Station, PA 19066-1403 Ph: (610) 667-5448 | Dr Lee G Dante, MD 321 Berkeley Rd, Merion Station, PA 19066-1403 Ph: (610) 667-5448 | 
| Dr. Jay S Bonovitz,  Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 214 Derwen Rd, Merion Station, PA 19066 Phone: 610-664-3785 Fax: 610-664-5647 | |
| Dr. Janice Elayne Horowitz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 488 Merion Rd, Merion Station, PA 19066 Phone: 610-667-4997 Fax: 610-667-3929 | |
| David Stuart Tabby, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 217 Springhouse Ln, Merion Station, PA 19066 Phone: 610-635-8520 Fax: 610-546-7604 | |
| Dr. Robert D Polishook, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 563 Heath Rd, Merion Station, PA 19066 Phone: 610-667-5435 Fax: 610-667-1177 | |
| Dr. Ellen M Berman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 321 Mallwyd Rd, Merion Station, PA 19066 Phone: 610-667-4617 Fax: 215-893-4388 |