| Udele Joyce Tagoe, MD | |
|
3998 Red Lion Rd, Suite 106, Philadelphia, PA 19114-1445 | |
| (215) 612-4143 | |
| (215) 612-4909 |
| Full Name | Udele Joyce Tagoe |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 3998 Red Lion Rd, 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 |
|---|---|---|---|
| 1588605232 | NPI | - | NPPES |
| 1020328930003 | Medicaid | PA | |
| 1901845 | Other | PA | HIGHMARK BLUE SHIELD |
| 2768766000 | Other | PA | KEYSTONE IBC |
| 30171550 | Other | PA | KEYSTONE FIRST |
| 336613 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD428204 (Pennsylvania) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Udele Joyce Tagoe, MD Po Box 8500-6335, Philadelphia, PA 19178-6335 Ph: (215) 612-4143 | Udele Joyce Tagoe, MD 3998 Red Lion Rd, Suite 106, Philadelphia, PA 19114-1445 Ph: (215) 612-4143 |
Jennifer Bracken Imbriale, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St Fl 7, Philadelphia, PA 19140 Phone: 215-707-3187 | |
Jenna Snyder, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 856-803-3694 | |
Dr. Comreen Vargees, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3500 N Broad St, Philadelphia, PA 19140 Phone: 303-842-7009 | |
Dr. Thomas A. Klein, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 834 Chestnut St, Suite 300, Philadelphia, PA 19107 Phone: 215-955-5000 Fax: 215-923-1089 | |
Abike T James, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035 | |
Mathew N Beshara, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce Street, 5 Penn Tower, Philadelphia, PA 19104 Phone: 215-662-6035 Fax: 215-349-5228 | |
Bernadette C Wheeler, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 1 West Gates, Philadelphia, PA 19104 Phone: 215-662-2730 Fax: 215-349-5224 |