| Robert A Avery, DO | |
|
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
| (215) 590-2791 | |
| (267) 425-9552 |
| Full Name | Robert A Avery |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013072305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | OT010641 (Pennsylvania) | Primary |
| Entity Name | Children's Surgical Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Avery, DO 100 E Penn Sq, The Wanamaker Bldg 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9538 | Robert A Avery, DO 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-2791 |
Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717 | |
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815 | |
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792 | |
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600 | |
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086 |