| Nikki T Sistrun, MD | |
|
559 W Germantown Pike, East Norriton, PA 19403-4250 | |
| (484) 622-0700 | |
| (484) 622-0643 |
| Full Name | Nikki T Sistrun |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 559 W Germantown Pike, East Norriton, 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 |
|---|---|---|---|
| 1639192206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0904X | Radiology - Nuclear Radiology | MD427876 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD427876 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1580 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki T Sistrun, MD Po Box 820137, Philadelphia, PA 19182-0137 Ph: (610) 270-2352 | Nikki T Sistrun, MD 559 W Germantown Pike, East Norriton, PA 19403-4250 Ph: (484) 622-0700 |
Norman F. Ruttenberg, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-0700 Fax: 484-622-0643 | |
Dr. Julia Rose Robinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 W Germantown Pike, 2nd Floor, East Norriton, PA 19403 Phone: 484-622-7750 Fax: 484-622-7776 | |
Delaine M. Mandell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-0743 Fax: 484-622-0643 | |
John E. Devenney, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-0700 Fax: 484-622-0643 | |
David M Bolden, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2701 Dekalb Pike, East Norriton, PA 19401 Phone: 856-616-8100 Fax: 856-616-1919 | |
Laurence J. Spitzer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-0700 Fax: 484-622-0643 |