| Dr Ly Thien Ngo, MD | |
|
909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5509 | |
| (215) 955-1234 | |
| (215) 923-6792 |
| Full Name | Dr Ly Thien Ngo |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 909 Walnut 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 |
|---|---|---|---|
| 1003077074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD445016 (Pennsylvania) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA09265000 (New Jersey) | Secondary |
| Entity Name | Cmc Dept Of Medicine Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386682094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ly Thien Ngo, MD 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5509 Ph: (215) 955-1234 | Dr Ly Thien Ngo, MD 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5509 Ph: (215) 955-1234 |
Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717 | |
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815 | |
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600 | |
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086 |