| Daniel J Vile Do Pc | |
|
9501 Roosevelt Blvd Suite 400 Philadelphia PA 19114-1029 | |
| (215) 969-7510 | |
| (215) 969-7513 |
| Full Name | Daniel J Vile Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9501 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Daniel J. Vile (OWNER) |
| Authorized Official Contact | 2159697510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Vile Do Pc Po Box 16335 Philadelphia PA 19114-0435 Ph: (215) 969-7510 | Daniel J Vile Do Pc 9501 Roosevelt Blvd Suite 400 Philadelphia PA 19114-1029 Ph: (215) 969-7510 |
| NPI Number | 1346259876 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 2668479155 |
|---|---|
| Medicare Enrollment ID | O20061025000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346259876 | NPI | - | NPPES |
| 1028248 | Other | PA | KEYSTONE MERCY |
| 5618455 | Other | PA | AETNA/USHC |
| 712838 | Other | PA | BLUE SHIELD |
| 0549116000 | Other | PA | KEYSTONE |
| 0549116000 | Other | PA | AMERI HEALTH |
| 5491235 | Other | PA | CIGNA |
| 0014125700004 | Medicaid | PA | |
| 060052271 | Other | PA | TRAVELERS MC |
| 24078 | Other | PA | HEALTH PARTNERS |
| Provider Name | Sanul J Corrielus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205831716 PECOS PAC ID: 7113826637 Enrollment ID: I20040105000268 |
| Provider Name | Robert M Macmillan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699736462 PECOS PAC ID: 6002807443 Enrollment ID: I20040524000312 |
| Provider Name | Daniel J Vile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215986377 PECOS PAC ID: 1254338486 Enrollment ID: I20061101000416 |
| Provider Name | Niku Md Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023257243 PECOS PAC ID: 4789731910 Enrollment ID: I20090406000110 |
| Provider Name | Yelena Rybak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952943458 PECOS PAC ID: 5193151298 Enrollment ID: I20200210001247 |
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