| Shinette Sirmans-mcrae, MD | |
| 15 Campus Blvd, Newtown Square, PA 19073-3200 | |
| (484) 454-6262 | |
| (610) 789-6158 | 
| Full Name | Shinette Sirmans-mcrae | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 15 Campus Blvd, Newtown Square, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780601112 | NPI | - | NPPES | 
| 2022245 | Other | PA | HIGHMARK BLUE SHIELD | 
| 3436078000 | Other | PA | KEYSTONE HEALTH PLAN EAST | 
| 101902511 0001 | Medicaid | PA | |
| 30060749 | Other | PA | KEYSTONE MERCY-LOWER BUCKS GROUP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07699300 (New Jersey) | Primary | 
| Entity Name | Ninth Street Internal Medicine Associates Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598719627 PECOS PAC ID: 5799763702 Enrollment ID: O20040707001329 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shinette Sirmans-mcrae, MD 14 Blossom Dr, Ewing, NJ 08638-2004 Ph: (609) 912-0180 | Shinette Sirmans-mcrae, MD 15 Campus Blvd, Newtown Square, PA 19073-3200 Ph: (484) 454-6262 | 
| Robert Riccardo Corrato, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Suite 200, Newtown Square, PA 19073 Phone: 484-454-6268 Fax: 610-789-6158 | |
| Gordon W. Webster, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 841 Galer Dr, Newtown Square, PA 19073 Phone: 610-353-1181 | |
| Praphulla Hebbalalu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Campus Blvd, Suite 200, Newtown Square, PA 19073 Phone: 484-454-6268 | |
| Dr. Jo-ann Reteguiz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Newtown Square, PA 19073 Phone: 610-557-2262 | |
| Lauren Theriault, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3855 W Chester Pike Ste 300, Newtown Square, PA 19073 Phone: 484-427-8000 | |
| Madeleine E Heaney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3475 W Chester Pike Ste 235, Newtown Square, PA 19073 Phone: 484-420-4660 Fax: 484-420-6547 | |
| Sylvan Hurewitz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Newtown Square, PA 19073 Phone: 610-557-2484 |