| Thomas William Ball, | |
|
501 S. 54th Street, Philadelphia, PA 19143-1900 | |
| (215) 748-9740 | |
| (215) 748-9207 |
| Full Name | Thomas William Ball |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 501 S. 54th Street, 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 |
|---|---|---|---|
| 1821128596 | NPI | - | NPPES |
| 0694452 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD431062 (Pennsylvania) | Primary |
| 207P00000X | Emergency Medicine | C7-0002923 (Delaware) | Secondary |
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Entity Name | Patient Care Now Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336544477 PECOS PAC ID: 6305161167 Enrollment ID: O20160526001064 |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas William Ball, 3400 Spruce Street, Ground Ravdin, Philadelphia, PA 19104-4283 Ph: (215) 748-9740 | Thomas William Ball, 501 S. 54th Street, Philadelphia, PA 19143-1900 Ph: (215) 748-9740 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953 | |
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494 |