| Mara Lee Cappelloni, PA-C | |
|
3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238 | |
| (215) 662-3487 | |
| (215) 349-5534 |
| Full Name | Mara Lee Cappelloni |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245428754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA054517 (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 | University of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Lee Cappelloni, PA-C 3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238 Ph: (215) 662-3487 | Mara Lee Cappelloni, PA-C 3400 Spruce St, 3 Silverstein, Philadelphia, PA 19104-4238 Ph: (215) 662-3487 |
Leah M Lopez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104 Phone: 215-662-7870 |
Taylor Nicole Thompson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5501 Old York Rd, Korman Building Suite 202, Philadelphia, PA 19141 Phone: 215-254-2630 |
Felicia Gutierrez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1601 Cherry St, Philadelphia, PA 19102 Phone: 267-885-8391 |
Ulysses Samuel Ator, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1650 Market St Ste 3600, Philadelphia, PA 19103 Phone: 855-212-2273 Fax: 629-240-6003 |
Julia Esther Lim, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 |
Samantha Volpe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-4000 |
Emily Penn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 864-873-7639 |