| Boothwyn Medical Associates P.c. | |
|
1440 Conchester Hwy Suite 5a Boothwyn PA 19061-2124 | |
| (610) 459-3722 | |
| (610) 459-4730 |
| Full Name | Boothwyn Medical Associates P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1440 Conchester Hwy, Boothwyn, Pennsylvania |
| Authorized Official Name and Position | Rodney M. Elkin (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 6104593722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boothwyn Medical Associates P.c. 1440 Conchester Hwy Suite 5a Boothwyn PA 19061-2124 Ph: (610) 459-3722 | Boothwyn Medical Associates P.c. 1440 Conchester Hwy Suite 5a Boothwyn PA 19061-2124 Ph: (610) 459-3722 |
| NPI Number | 1699715086 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/12/2011 |
| Medicare PECOS PAC ID | 8921087784 |
|---|---|
| Medicare Enrollment ID | O20040715000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699715086 | NPI | - | NPPES |
| 0012788500001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD038926L (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | MD030635E (Pennsylvania) | Primary |
| Provider Name | Rita T Konzelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477505535 PECOS PAC ID: 0547247827 Enrollment ID: I20040706000155 |
| Provider Name | Rodney Elkin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376580506 PECOS PAC ID: 4789866625 Enrollment ID: I20110815000777 |
Rediclinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3296 Chichester Ave, Boothwyn, PA 19061 Phone: 866-935-0333 Fax: 713-935-9353 | |
Ozer Family Vision Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2316 Meetinghouse Rd, Boothwyn, PA 19061 Phone: 610-485-1500 Fax: 610-485-4805 | |
Joel S. Goldberg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4015 Chichester Ave, Boothwyn, PA 19061 Phone: 610-404-4422 |