| Robert Fine, MD | |
|
400 E Germantown Pike, East Norriton, PA 19401-6506 | |
| (610) 994-0063 | |
| (570) 253-8633 |
| Full Name | Robert Fine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 400 E Germantown Pike, East Norriton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033153184 | NPI | - | NPPES |
| 03409969 | Medicaid | NY | |
| 12245544 | Other | PA | CAQH |
| 0009467980008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA07376100 (New Jersey) | Secondary |
| 207P00000X | Emergency Medicine | MD020893E (Pennsylvania) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Upmc Altoona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497831655 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001094 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Fine, MD 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Robert Fine, MD 400 E Germantown Pike, East Norriton, PA 19401-6506 Ph: (610) 994-0063 |
Dr. Prachi Mahendra Modi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-0611 | |
Dr. Carisa Rose Champion, DO, JD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Dekalb Pike, East Norriton, PA 19401 Phone: 727-510-6593 | |
Dr. Michela Mickler, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1000 | |
Brian Paul Duffell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E Germantown Pike, East Norriton, PA 19401 Phone: 610-994-0063 | |
Dr. Olivia M Bowles, DO, MS Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 559 W Germantown Pike, East Norriton, PA 19403 Phone: 484-622-1000 |