| Mr George M Protenic, | |
| 826 Main St Ste 100, Phoenixville, PA 19460-4459 | |
| (484) 928-6780 | |
| (267) 741-0003 | 
| Full Name | Mr George M Protenic | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 826 Main St Ste 100, Phoenixville, Pennsylvania | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932172335 | NPI | - | NPPES | 
| 1031466560003 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | MA000658L (Pennsylvania) | Primary | 
| 363AM0700X | Physician Assistant - Medical | MA0006581 (Pennsylvania) | Secondary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr George M Protenic, 207 N Broad St Fl 3, Philadelphia, PA 19107-1500 Ph: (267) 479-4142 | Mr George M Protenic, 826 Main St Ste 100, Phoenixville, PA 19460-4459 Ph: (484) 928-6780 | 
| Angela M Baker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1021 Winding River Ln, Phoenixville, PA 19460 Phone: 610-751-3195 | |
| Bryan Wai Yong Tang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main St Ste 100, Phoenixville, PA 19460 Phone: 610-935-7300 | |
| Mr. Andrew John Kelly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main Street, Suite 100, Phoenixville, PA 19460 Phone: 610-935-7300 | |
| Gabrielle Krekstein, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 799 Gay St, Phoenixville, PA 19460 Phone: 610-935-0644 Fax: 610-935-7757 | |
| Christina Ann Harp, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 824 Main St, Suite 302, Phoenixville, PA 19460 Phone: 610-983-1561 Fax: 610-983-1569 | |
| Ashley Lucille Dahl, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 507 Kimberton Rd, Phoenixville, PA 19460 Phone: 610-243-9117 | |
| Thomas D. Giovinazzo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Main St, Ste. 302, Phoenixville, PA 19460 Phone: 610-983-1561 Fax: 610-983-1569 |