| Mr Stephen Nolan, PA-C | |
|
2231 Bryn Mawr Ave, Philadelphia, PA 19131-2530 | |
| (215) 883-0800 | |
| Not Available |
| Full Name | Mr Stephen Nolan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2231 Bryn Mawr Ave, Philadelphia, 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 |
|---|---|---|---|
| 1083908974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA065409 (Pennsylvania) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| On Demand Urgent Care Group Pc | 5991029712 | 95 |
| 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 | On Demand Urgent Care Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053729814 PECOS PAC ID: 5991029712 Enrollment ID: O20150126001443 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Nolan, PA-C 400 Fayette St # 180, Conshohocken, PA 19428-2186 Ph: Not Available | Mr Stephen Nolan, PA-C 2231 Bryn Mawr Ave, Philadelphia, PA 19131-2530 Ph: (215) 883-0800 |
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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 |
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