| Julia Elizabeth Knaus Godfrey, PA-C | |
|
1 Medical Center Blvd, Emergency Department, Upland, PA 19013 | |
| (610) 447-2189 | |
| Not Available |
| Full Name | Julia Elizabeth Knaus Godfrey |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1 Medical Center Blvd, Upland, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922330737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA054220 (Pennsylvania) | Primary |
| Entity Name | Main Line Emergency Med Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316919368 PECOS PAC ID: 9234034729 Enrollment ID: O20031208000122 |
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Elizabeth Knaus Godfrey, PA-C 1 Medical Center Blvd, Emergency Department, Upland, PA 19013 Ph: (610) 447-2189 | Julia Elizabeth Knaus Godfrey, PA-C 1 Medical Center Blvd, Emergency Department, Upland, PA 19013 Ph: (610) 447-2189 |
Baotram Ngoc Luu, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: One Medical Center Blvd, Suite 404, Upland, PA 19013 Phone: 610-619-8590 Fax: 610-619-8591 |
Elizabeth Catherine Jeitner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Pob 1 Suite 303, Upland, PA 19013 Phone: 610-872-8501 |
Michelle Raeuber, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399 |
Rinku Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013 Phone: 844-464-6387 Fax: 215-239-3037 |
Mr. Kevin John Wansor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd Suite 303, Clinical Renal Associates Ltd, Upland, PA 19013 Phone: 610-872-8501 Fax: 610-872-5188 |
Ms. Jennifer A Hartle, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: One Medical Center Blvd, Ccmc, Pob Ii, Suite 324, Upland, PA 19013 Phone: 610-876-0347 Fax: 610-876-3788 |