| Nicole Davis, MD | |
|
2827 W Cheltenham Ave, Wyncote, PA 19095-2932 | |
| (215) 884-8815 | |
| (215) 884-5550 |
| Full Name | Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2827 W Cheltenham Ave, Wyncote, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275572901 | NPI | - | NPPES |
| 101261149 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD418582 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wissahickon Hospice | Bala cynwyd, PA | Hospice |
| Chestnut Hill Hospital | Philadelphia, PA | Hospital |
| Albert Einstein Medical Center | Philadelphia, PA | Hospital |
| Saint Joseph Villa | Flourtown, PA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1191 |
| Entity Name | Chestnut Hill Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508936071 PECOS PAC ID: 2860492279 Enrollment ID: O20070109000509 |
| 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 |
|---|---|
| Nicole Davis, MD 2827 W Cheltenham Ave, Wyncote, PA 19095-2932 Ph: (215) 884-8815 | Nicole Davis, MD 2827 W Cheltenham Ave, Wyncote, PA 19095-2932 Ph: (215) 884-8815 |
Dr. Kevin Charles Scott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Cheltenham Ave, Wyncote, PA 19095 Phone: 215-444-7471 Fax: 215-695-2935 | |
Kenneth Weiss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Washington Ln, Suite 101, Wyncote, PA 19095 Phone: 215-886-0440 Fax: 215-886-0447 | |
Dr. Charles Clayton Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2827 W Cheltenham Ave, Wyncote, PA 19095 Phone: 215-884-8815 Fax: 215-884-5550 |