| Jack B Cohen, MD | |
|
Broad And Vine Sts, Ms 310, Phila, PA 19102 | |
| (215) 762-4312 | |
| (215) 762-8656 |
| Full Name | Jack B Cohen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | Broad And Vine Sts, Phila, 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 |
|---|---|---|---|
| 1790775658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD055971L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanticare Regional Medical Center | 0648181578 | 107 |
| Entity Name | Atlanticare Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710930102 PECOS PAC ID: 0648181578 Enrollment ID: O20040212000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack B Cohen, MD 101 E Olney Ave, Ste 400, Philadelphia, PA 19120-2470 Ph: (215) 456-1825 | Jack B Cohen, MD Broad And Vine Sts, Ms 310, Phila, PA 19102 Ph: (215) 762-4312 |
Guido Ascanio, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 | |
Anoja Bala Madison, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 | |
Ernest J Ricco, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 800-394-4445 Fax: 706-650-1034 | |
David B Berman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 | |
Ida Hudson, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 | |
Allen B Haas, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 | |
Pietro Colonnaromano, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Phila, PA 19107 Phone: 215-829-5664 |