| Forum Patel, CRNP | |
| 835 Old York Rd # 1193, Jenkintown, PA 19046-1601 | |
| (267) 981-5651 | |
| Not Available | 
| Full Name | Forum Patel | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 835 Old York Rd # 1193, Jenkintown, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326739244 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP027560 (Pennsylvania) | Primary | 
| Entity Name | Minuteclinic Diagnostic Of Pennsylvania Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881738037 PECOS PAC ID: 5395827307 Enrollment ID: O20080130000250 | 
| Entity Name | Minuteclinic Video Virtual Care, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Forum Patel, CRNP 835 Old York Rd # 1193, Jenkintown, PA 19046-1601 Ph: (267) 981-5651 | Forum Patel, CRNP 835 Old York Rd # 1193, Jenkintown, PA 19046-1601 Ph: (267) 981-5651 | 
| Yatta Katherine Crosby,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Old York Rd, Jenkintown, PA 19046 Phone: 215-886-2923 | |
| Teresa Stewart Marable, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 York Rd Ste 203, Jenkintown, PA 19046 Phone: 215-886-0174 | |
| Angela Collingwood, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Old York Rd Ste 526, Jenkintown, PA 19046 Phone: 610-987-9885 Fax: 215-714-7395 | |
| Alexandra Gillespie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Old York Rd Ste 620, Jenkintown, PA 19046 Phone: 215-885-8700 | |
| Mrs. Susana Mary Ward, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Old York Rd Ste 620, Jenkintown, PA 19046 Phone: 215-885-8700 Fax: 215-885-8795 | |
| Julianne Berol, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Huntingdon Pike, Suite 156, Jenkintown, PA 19046 Phone: 215-947-7924 | |
| Sandra J Roadarmel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 314 York Rd, Jenkintown, PA 19046 Phone: 215-884-7620 Fax: 215-884-7896 |