| Jason M Komasz, MD | |
|
260 New York Dr, Fort Washington, PA 19034-2504 | |
| (215) 643-7331 | |
| (215) 654-0741 |
| Full Name | Jason M Komasz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 260 New York Dr, Fort Washington, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952374746 | NPI | - | NPPES |
| 001849752 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD071900L (Pennsylvania) | Primary |
| Entity Name | Via Affiliates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104 |
| Entity Name | Childrens Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason M Komasz, MD 595 W State St, 505, Doylestown, PA 18901-2554 Ph: (215) 933-0259 | Jason M Komasz, MD 260 New York Dr, Fort Washington, PA 19034-2504 Ph: (215) 643-7331 |
Elizabeth N Lawhorn, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Ste 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 | |
Evangeline Grover, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 | |
Susan Fellheimer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 New York Drive, Fort Washington, PA 19034 Phone: 215-643-7331 Fax: 215-654-0741 | |
Bruce Evan Lockman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-646-6868 Fax: 215-646-4422 | |
Maureen Caulfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 711 Prospect Ave, Fort Washington, PA 19034 Phone: 215-591-3767 | |
Andrew Lubell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, Suite 250, Fort Washington, PA 19034 Phone: 215-653-0600 Fax: 215-646-4422 |