| David E Kautz, PAC | |
|
255 W Lancaster Ave, Paoli, PA 19301 | |
| (610) 648-1043 | |
| (610) 648-1415 |
| Full Name | David E Kautz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 255 W Lancaster Ave, Paoli, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154394534 | NPI | - | NPPES |
| 0704121 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA002780L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pennsylvania Urgent Care Centers, Pllc | 8123200631 | 107 |
| Entity Name | Emergency Care Services of Pennsylvania PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Entity Name | Pennsylvania Urgent Care Centers, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902128721 PECOS PAC ID: 8123200631 Enrollment ID: O20110304000289 |
| Entity Name | Prospect Health Access Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902690852 PECOS PAC ID: 6608056171 Enrollment ID: O20171101000207 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Kautz, PAC Po Box 3012, Wilmington, DE 19804 Ph: (800) 456-4629 | David E Kautz, PAC 255 W Lancaster Ave, Paoli, PA 19301 Ph: (610) 648-1043 |
Emily Jane Damico, Physician Assistant Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 215-429-1003 |
Nicole Elizabeth Francis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4 Industrial Blvd Ste 165, Paoli, PA 19301 Phone: 610-359-5640 Fax: 833-941-3871 |
Ashley Diane Zudans, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 201, Paoli, PA 19301 Phone: 484-476-1000 Fax: 484-476-9000 |
Kathleen M Canfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 Phone: 610-644-6251 Fax: 610-644-1440 |
Amanda Whitlock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Suite 331, Mob3, Paoli, PA 19301 Phone: 484-527-2232 |
Marissa Pena, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 West Lancaster Avenue, Medical Office Building 3, Suite 237, Paoli, PA 19301 Phone: 484-565-8080 |
Ms. Shelby Catherine Hufnal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1048 Fax: 484-565-2044 |