| Tracey Carmellini, MD | |
|
1015 W Baltimore Pike, West Grove, PA 19390-9459 | |
| (610) 869-1235 | |
| Not Available |
| Full Name | Tracey Carmellini |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 1015 W Baltimore Pike, West Grove, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568442325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD07057BL (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chester County Hospital | West chester, PA | Hospital |
| Phoenixville Hospital | Phoenixville, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Penn-medical Group | 6204730955 | 3175 |
| Clinical Health Care Associates Of New Jersey Pc | 0749180198 | 758 |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Entity Name | West Grove Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790856078 PECOS PAC ID: 4789685033 Enrollment ID: O20070129000812 |
| 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 |
|---|---|
| Tracey Carmellini, MD 301 S 7th Ave, Ste 135, West Reading, PA 19611-1442 Ph: (484) 628-4580 | Tracey Carmellini, MD 1015 W Baltimore Pike, West Grove, PA 19390-9459 Ph: (610) 869-1235 |
Philip G Patt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1015 W Baltimore Pike, West Grove, PA 19390 Phone: 610-869-1235 | |
Samuel Damato, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1015 W Baltimore Pike, West Grove, PA 19390 Phone: 610-869-1235 |