| Mr Michael Conrad Roman, DO | |
|
1550 W Main St, Jeffersonville, PA 19403-3228 | |
| (610) 635-1712 | |
| (610) 635-1716 |
| Full Name | Mr Michael Conrad Roman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 1550 W Main St, Jeffersonville, 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 |
|---|---|---|---|
| 1073576849 | NPI | - | NPPES |
| 0017066150002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS009124L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred Hospice | Blue bell, PA | Hospice |
| Einstein Medical Center Montgomery | East norriton, PA | Hospital |
| Entity Name | Pennsylvania Department Of Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447233317 PECOS PAC ID: 0547168064 Enrollment ID: O20040527000932 |
| Entity Name | Jeffersonville Internal Medicine, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831131564 PECOS PAC ID: 1355311218 Enrollment ID: O20040728000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Conrad Roman, DO 1550 W Main St, Jeffersonville, PA 19403-3228 Ph: (610) 635-1712 | Mr Michael Conrad Roman, DO 1550 W Main St, Jeffersonville, PA 19403-3228 Ph: (610) 635-1712 |
Huub Jozef Mulders, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2505 Boulevard Of The Generals, Jeffersonville, PA 19403 Phone: 610-630-8600 Fax: 610-630-9599 | |
Anthony John Bazzan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2505 Boulevard Of The Generals, Jeffersonville, PA 19403 Phone: 610-630-8600 Fax: 610-630-9599 |