Ophelia Medical Group Fl, P.a. - Medicare Mental Health Clinic in Philadelphia, PA

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Ophelia Medical Group Fl, P.a. is a medicare enrolled mental health clinic (Family Medicine - Addiction Medicine) in Philadelphia, Pennsylvania. The current practice location for Ophelia Medical Group Fl, P.a. is 161 Cecil B Moore Ave Apt 204, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (215) 585-2144. The mailing address for Ophelia Medical Group Fl, P.a. is 228 Park Ave S Ste 15314, New York, New York and phone number is (215) 585-2144.

Ophelia Medical Group Fl, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588244750. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (215) 585-2144.

Contact Information

Ophelia Medical Group Fl, P.a.
161 Cecil B Moore Ave Apt 204
Philadelphia
PA 19122-3243
(215) 585-2144
(267) 780-7032

Map and Direction


Mental Health Clinic Profile

Full NameOphelia Medical Group Fl, P.a.
SpecialityFamily Medicine
Location161 Cecil B Moore Ave Apt 204, Philadelphia, Pennsylvania
Authorized Official Name and PositionArthur R Williams (CHIEF MEDICAL OFFICER)
Authorized Official Contact2155852144
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ophelia Medical Group Fl, P.a.
228 Park Ave S Ste 15314
New York
NY 10003-1502

Ph: (215) 585-2144		Ophelia Medical Group Fl, P.a.
161 Cecil B Moore Ave Apt 204
Philadelphia
PA 19122-3243

Ph: (215) 585-2144

NPI Details:

NPI Number1588244750
Provider Enumeration Date04/12/2021
Last Update Date10/30/2025
Certification Date10/30/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7810398534
Medicare Enrollment IDO20210701000351

Medical Identifiers

Medical identifiers for Ophelia Medical Group Fl, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588244750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ophelia Medical Group Fl, P.a. acts as a billing entity for following providers:
Provider NameLee Jay Radosh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174589477
PECOS PAC ID: 8921050527
Enrollment ID: I20050211000245
Provider NameDarren Mcauley
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1013086917
PECOS PAC ID: 9133219561
Enrollment ID: I20071221000166
Provider NameEllen B Linde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174754774
PECOS PAC ID: 1658426176
Enrollment ID: I20090908000209
Provider NameRoxanne C Swistock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174870810
PECOS PAC ID: 9931358215
Enrollment ID: I20121002000079
Provider NameLavenia Fain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649697202
PECOS PAC ID: 6103047824
Enrollment ID: I20141022001615
Provider NameMeredith Mcclure
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841691094
PECOS PAC ID: 6103047311
Enrollment ID: I20160211000306
Provider NameRachel Rolison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467805002
PECOS PAC ID: 5799072948
Enrollment ID: I20161003000994
Provider NameSusan Marie Tomaine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366812604
PECOS PAC ID: 4981913605
Enrollment ID: I20161005002729
Provider NameM Jane D Alessandro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841747391
PECOS PAC ID: 6103105986
Enrollment ID: I20161118000526
Provider NameKrysten Nicole Duliba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649726043
PECOS PAC ID: 2961782255
Enrollment ID: I20161202000144
Provider NameAnne K. Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952720088
PECOS PAC ID: 6709102049
Enrollment ID: I20170303000975
Provider NameEmily Jean Way
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639546260
PECOS PAC ID: 6507169232
Enrollment ID: I20170518001561
Provider NameKaci L Wall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467982876
PECOS PAC ID: 4082970108
Enrollment ID: I20171106002917
Provider NameMena Soliman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477060598
PECOS PAC ID: 3779845318
Enrollment ID: I20180320001772
Provider NameCharles Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215445788
PECOS PAC ID: 0749543205
Enrollment ID: I20180416000117
Provider NameCarla A Paredes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174078976
PECOS PAC ID: 1052699212
Enrollment ID: I20180502001129
Provider NameShoshana Aronowitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053705376
PECOS PAC ID: 9032406079
Enrollment ID: I20180516001643
Provider NameLeeann Mcdermott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649748385
PECOS PAC ID: 5799026670
Enrollment ID: I20190402000898
Provider NameNicole Marie Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972068930
PECOS PAC ID: 8729311766
Enrollment ID: I20190606002414
Provider NameBrittany Lynn Eilber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306490131
PECOS PAC ID: 4284966607
Enrollment ID: I20191104001933
Provider NameRenee Alane Lucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699385146
PECOS PAC ID: 5698186419
Enrollment ID: I20201201000474
Provider NameTaylor Anne List
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053910711
PECOS PAC ID: 7810309853
Enrollment ID: I20201215002397
Provider NameMatthew W Cichocki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972035582
PECOS PAC ID: 1254606387
Enrollment ID: I20210616003555
Provider NameSamantha Huo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528551280
PECOS PAC ID: 8820343692
Enrollment ID: I20210810000984
Provider NameKayla Gatto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124690219
PECOS PAC ID: 7517364045
Enrollment ID: I20210924002137
Provider NameArielle Sarah Bivas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841607314
PECOS PAC ID: 8820390503
Enrollment ID: I20211014000109
Provider NameLaura Elizabeth Coulson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679231138
PECOS PAC ID: 9133519937
Enrollment ID: I20211210000335
Provider NameSarah Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346885092
PECOS PAC ID: 6608269410
Enrollment ID: I20220131000508
Provider NameArthur R Williams
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1063739985
PECOS PAC ID: 3072928480
Enrollment ID: I20220602001907
Provider NameAdam Mariusz Bisaga
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1023135613
PECOS PAC ID: 4183025802
Enrollment ID: I20220628003682
Provider NameRhiannon L Bircher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386275576
PECOS PAC ID: 5698141893
Enrollment ID: I20221012003627
Provider NameAlexandra Marie Mcclellan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962107128
PECOS PAC ID: 8325408750
Enrollment ID: I20230718000540
Provider NameMeghan M Kohuth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447937651
PECOS PAC ID: 8224482229
Enrollment ID: I20230925003161
Provider NameChivon Monique Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497445431
PECOS PAC ID: 6002261070
Enrollment ID: I20231011000793
Provider NameBrittney Golden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720868813
PECOS PAC ID: 6406203538
Enrollment ID: I20231113000318
Provider NameChristopher Abbas Mehdizadeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073035127
PECOS PAC ID: 2365717121
Enrollment ID: I20231118000503
Provider NameAshley Jeanne Mazei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568711901
PECOS PAC ID: 6103103650
Enrollment ID: I20231130000429
Provider NameCourtney B Mccree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619276672
PECOS PAC ID: 7810174034
Enrollment ID: I20240111002694
Provider NameAlexis Natasha Seligman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912690025
PECOS PAC ID: 5890146773
Enrollment ID: I20240208002037
Provider NameDekozlymn Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134556061
PECOS PAC ID: 0446471031
Enrollment ID: I20240603000763
Provider NameErica Rubinos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235748963
PECOS PAC ID: 1355888496
Enrollment ID: I20240806004327
Provider NameDaniel Montville
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1952806093
PECOS PAC ID: 9830446756
Enrollment ID: I20240816001156
Provider NameAaron Rodas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003438870
PECOS PAC ID: 0840616322
Enrollment ID: I20240827004171
Provider NameJulia Matthews
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265275101
PECOS PAC ID: 8921534553
Enrollment ID: I20241206000209
Provider NameShay Linn Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356967020
PECOS PAC ID: 6406274802
Enrollment ID: I20250102001636
Provider NameKacey Nicole Cornell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992516108
PECOS PAC ID: 0941724629
Enrollment ID: I20250404000012
Provider NameTheodore Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598316002
PECOS PAC ID: 3375940059
Enrollment ID: I20250423001204
Provider NameRiana Lynn Nicolaysen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952145351
PECOS PAC ID: 4688192578
Enrollment ID: I20250514003057
Provider NameJulian C Krisak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598555302
PECOS PAC ID: 4587173596
Enrollment ID: I20250602001822

Reviews and Comments

Family Medicine in Philadelphia, PA

Asociacion De Puertorriquenos En Marcha, Inc.
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Phone: 215-614-1828    
Philadelphia School Of Psychoanalysis
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Phone: 215-732-8244    Fax: 215-732-8454
Immanuel Care Support Services
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Npsyt Psychological Services, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 6327 Burbridge St, Philadelphia, PA 19144
Phone: 215-991-9066    Fax: 215-991-9062
Menergy, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119
Phone: 215-242-2235    
Wiser Counseling, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 505 S 22nd St, Philadelphia, PA 19146
Phone: 484-800-1747    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.