| Mariusz A Wasik, MD | |
|
333 Cottman Ave, Philadelphia, PA 19111 | |
| (215) 728-3675 | |
| (215) 728-2848 |
| Full Name | Mariusz A Wasik |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 46 Years |
| Location | 333 Cottman Ave, 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 |
|---|---|---|---|
| 1023053576 | NPI | - | NPPES |
| 0015674870001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | MD049675L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Temple University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1191 |
| Entity Name | Fox Chase Cancer Center Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariusz A Wasik, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 728-3675 | Mariusz A Wasik, MD 333 Cottman Ave, Philadelphia, PA 19111 Ph: (215) 728-3675 |
Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529 | |
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829 | |
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179 | |
Matthew B Palmer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 |