| Mitchell I Conn, MD | |
|
132 S 10th St, 480 Main Building, Phila, PA 19107-5244 | |
| (215) 955-8900 | |
| (215) 955-5245 |
| Full Name | Mitchell I Conn |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 46 Years |
| Location | 132 S 10th St, 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 |
|---|---|---|---|
| 1922067917 | NPI | - | NPPES |
| 0013981880005 | Medicaid | PA | |
| 4559401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD029191E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell I Conn, MD 132 S 10th St, 480 Main Building, Phila, PA 19107-5244 Ph: (215) 955-8900 | Mitchell I Conn, MD 132 S 10th St, 480 Main Building, Phila, PA 19107-5244 Ph: (215) 955-8900 |
Dr. Robert Shore, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7602 Central Ave, Stapeley Bldg Suite 101, Phila, PA 19111 Phone: 215-969-2900 Fax: 215-969-1856 | |
Christopher James Adkins, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1101 Chestnut St, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Thomas J Scheuerman, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 1411 Wolf St, Phila, PA 19145 Phone: 215-334-8780 Fax: 215-334-1086 | |
Ruchika Patel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Korman Bldg Suite 103, Phila, PA 19141 Phone: 215-456-7380 Fax: 215-456-3898 | |
Dr. Efua Asamoah-odei, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 227 N Broad St Ste 301, Phila, PA 19107 Phone: 215-762-7785 Fax: 215-568-6007 | |
Ivan Rudolph, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 132 S 10th St, 480 Main Building, Phila, PA 19107 Phone: 215-955-8900 Fax: 215-955-5245 | |
Dr. Remigio Victor Boccio, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Gen Med-111, Phila, PA 19104 Phone: 215-823-4133 |