| Mazzoni Center | |
|
1348 Bainbridge St Philadelphia PA 19147-1810 | |
| (215) 563-0652 | |
| (215) 563-0664 |
| Full Name | Mazzoni Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1348 Bainbridge St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Alecia Manley (COO) |
| Authorized Official Contact | 2155630652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazzoni Center 1348 Bainbridge St Philadelphia PA 19147-1810 Ph: (215) 563-0652 | Mazzoni Center 1348 Bainbridge St Philadelphia PA 19147-1810 Ph: (215) 563-0652 |
| NPI Number | 1477631307 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 8527043736 |
|---|---|
| Medicare Enrollment ID | O20040622000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477631307 | NPI | - | NPPES |
| 1007555740014 | Medicaid | PA |
| Provider Name | Janet M Hines |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134159254 PECOS PAC ID: 8921091273 Enrollment ID: I20040405000572 |
| Provider Name | Jennifer Aldrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386719979 PECOS PAC ID: 3072617943 Enrollment ID: I20070402000740 |
| Provider Name | Dustin C Latimer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760715213 PECOS PAC ID: 5991844581 Enrollment ID: I20091119000496 |
| Provider Name | Mark T Watkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336226166 PECOS PAC ID: 3971789454 Enrollment ID: I20110518000079 |
| Provider Name | Stacey B. Trooskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073716296 PECOS PAC ID: 7810150083 Enrollment ID: I20120525000413 |
| Provider Name | Julia L De Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679776926 PECOS PAC ID: 0143412320 Enrollment ID: I20140715001297 |
| Provider Name | Kristen Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720448186 PECOS PAC ID: 7810293990 Enrollment ID: I20160316000798 |
| Provider Name | Hilary a Rosenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063799351 PECOS PAC ID: 0840518544 Enrollment ID: I20170110000221 |
| Provider Name | Mariah a Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093226797 PECOS PAC ID: 4385900067 Enrollment ID: I20171113003330 |
| Provider Name | Ash C Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926863 PECOS PAC ID: 2365703253 Enrollment ID: I20180312001314 |
| Provider Name | Sierra Simkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568964005 PECOS PAC ID: 2062767122 Enrollment ID: I20180614000859 |
| Provider Name | Alexander Krausman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750898284 PECOS PAC ID: 9931469947 Enrollment ID: I20191203000049 |
| Provider Name | Kasey Elise Benchimol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790349835 PECOS PAC ID: 8628401395 Enrollment ID: I20191211000315 |
| Provider Name | Christiian S Credle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316552102 PECOS PAC ID: 0547671877 Enrollment ID: I20201118000142 |
| Provider Name | David Louis Beckmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346504800 PECOS PAC ID: 5395999569 Enrollment ID: I20210914000046 |
| Provider Name | Rachel Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503853 PECOS PAC ID: 2860881695 Enrollment ID: I20211116001428 |
| Provider Name | Elyse Marie Hibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205419298 PECOS PAC ID: 7618366360 Enrollment ID: I20211118000181 |
| Provider Name | Lucy Gleysteen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003471301 PECOS PAC ID: 6103216304 Enrollment ID: I20211202000350 |
| Provider Name | Jennifer Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710411749 PECOS PAC ID: 2567732670 Enrollment ID: I20230217000974 |
| Provider Name | Seth Carter Lamming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578275087 PECOS PAC ID: 1850763996 Enrollment ID: I20230217001949 |
| Provider Name | Mayeso Chithambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629746136 PECOS PAC ID: 6305219742 Enrollment ID: I20230306000433 |
| Provider Name | Samuel S Wilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396355327 PECOS PAC ID: 6002397007 Enrollment ID: I20260227000931 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 |
University of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 |
Npsyt Psychological Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 |