| Matthew Robert Dettra, PA-C | |
|
455 Pennsylvania Ave Ste 127, Fort Washington, PA 19034-3409 | |
| (215) 793-9755 | |
| (215) 412-3587 |
| Full Name | Matthew Robert Dettra |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 455 Pennsylvania Ave Ste 127, Fort Washington, 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 |
|---|---|---|---|
| 1760041636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Cosmetic Surgery Institute Pc | 2466519343 | 4 |
| Entity Name | Dermatology and Cosmetic Surgery Institute PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043485600 PECOS PAC ID: 2466519343 Enrollment ID: O20090319000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Robert Dettra, PA-C 455 Pennsylvania Ave Ste 127, Fort Washington, PA 19034-3409 Ph: (215) 793-9755 | Matthew Robert Dettra, PA-C 455 Pennsylvania Ave Ste 127, Fort Washington, PA 19034-3409 Ph: (215) 793-9755 |
Mr. Vavah Fiase, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Pennsylvania Ave Fl 1, Fort Washington, PA 19034 Phone: 215-728-2409 Fax: 215-542-6844 |
Ms. Amanda Stoll Murphy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Office Center Dr, Suite 195, Fort Washington, PA 19034 Phone: 215-836-7900 Fax: 215-836-7900 |
Jared Wilson Luke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Office Center Dr Ste 195, Fort Washington, PA 19034 Phone: 215-836-7900 Fax: 215-836-7923 |
Mrs. Marisa Pizzi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 270 Commerce Dr, #250, Fort Washington, PA 19034 Phone: 215-653-0600 |
Dorothy S Lohmann, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 515 Pennsylvania Ave, Fort Washington, PA 19034 Phone: 215-540-8408 Fax: 215-540-8418 |
Katherine Victoria Moran, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034 Phone: 215-793-4546 Fax: 215-793-9007 |
Ms. Breanna Lynn Mcmahon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 467 Pennsylvania Ave Ste 202, Fort Washington, PA 19034 Phone: 215-887-2010 Fax: 215-887-3291 |