| Susan C Nicolson, MD | |
| 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 | |
| (215) 590-1867 | |
| (215) 590-5824 | 
| Full Name | Susan C Nicolson | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology - Pediatric Anesthesiology | 
| Location | 34th Street & 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 | 
|---|---|---|---|
| 1255344438 | NPI | - | NPPES | 
| 097501EMD | Other | PA | MEDICARE PTAN CCM | 
| 181300EJL | Other | PA | MEDICARE PTAN | 
| 097501J6Z | Other | PA | MEDICARE PTAN PAIN MANAGEMENT | 
| 0009928990 | Medicaid | PA | 
| Entity Name | Childrens Anesthesiology Associates Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Susan C Nicolson, MD 100 E Penn Sq, The Wanamaker Building, 9th Floor, Philadelphia, PA 19107-3323 Ph: (297) 425-9300 | Susan C Nicolson, MD 34th Street & Civic Center Blvd, Suite 9329, Philadelphia, PA 19104-4399 Ph: (215) 590-1867 | 
| Priscilla Nelson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 6 Dulles, Philadelphia, PA 19104 Phone: 215-349-8310 | |
| Nicole Lynn Renaldi, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
| Monique Lorraine Roberts,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 | |
| Sarah Kumar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-349-8310 Fax: 215-893-7270 | |
| Akshat Gargya,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Department Of Anesthesiology Temple University Hospital, Philadelphia, PA 19140 Phone: 847-660-4085 | |
| Aaron William Montani, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-2000 | |
| Kathleen M Veloso, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664 |