| Ms Elizabeth Ann Iliescu Outlaw, PA-C | |
|
132 S 10th St, Philadelphia, PA 19107-5244 | |
| (215) 955-6840 | |
| Not Available |
| Full Name | Ms Elizabeth Ann Iliescu Outlaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 132 S 10th St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184076333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA53846 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA066645 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson University Physicians | 7911819180 | 1528 |
| On Demand Urgent Care Group Pc | 5991029712 | 95 |
| Entity Name | Jefferson University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
| 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 |
|---|---|
| Ms Elizabeth Ann Iliescu Outlaw, PA-C 132 S 10th St, Philadelphia, PA 19107-5244 Ph: (215) 955-6840 | Ms Elizabeth Ann Iliescu Outlaw, PA-C 132 S 10th St, Philadelphia, PA 19107-5244 Ph: (215) 955-6840 |
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 |
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 |
Susan Maureen Dubendorfer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 S 9th St, Philadelphia, PA 19107 Phone: 215-206-9392 |