| Travis Moakley Mattingly, DO | |
|
100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 | |
| (610) 896-0210 | |
| (610) 896-5101 |
| Full Name | Travis Moakley Mattingly |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 100 E Lancaster Ave Ste 467, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700370137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | OS022855 (Pennsylvania) | Primary |
| Entity Name | Delaware Valley I.d. Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871517540 PECOS PAC ID: 2365421161 Enrollment ID: O20040715000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Moakley Mattingly, DO 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 Ph: (610) 896-0210 | Travis Moakley Mattingly, DO 100 E Lancaster Ave Ste 467, Wynnewood, PA 19096-3434 Ph: (610) 896-0210 |
Dr. Akhnuwkh Jones, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2000 | |
Amanda B Christini, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, 4 Pavilion, Suite 4303, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149 | |
Daniel Wang, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, 4 Pavilion Ste 4303, Wynnewood, PA 19096 Phone: 484-476-6421 Fax: 484-476-3149 | |
Margaret Mack, Infectious Disease Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-3796 | |
Xiaoling Yu, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-6421 | |
Dr. Eric Marc Russell, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2000 | |
Dr. Jeremy Winthrop Gelber, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 330 Aubrey Rd, Wynnewood, PA 19096 Phone: 610-642-3999 |