| Devon Family Practice Llp | |
|
139 Berkeley Road Devon PA 19333-1544 | |
| (610) 687-0715 | |
| (610) 964-1228 |
| Full Name | Devon Family Practice Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 139 Berkeley Road, Devon, Pennsylvania |
| Authorized Official Name and Position | Teresa Ann Gruener (BOOKKEEPER) |
| Authorized Official Contact | 6109713730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Family Practice Llp 139 Berkeley Road Devon PA 19333-1544 Ph: (610) 687-0715 | Devon Family Practice Llp 139 Berkeley Road Devon PA 19333-1544 Ph: (610) 687-0715 |
| NPI Number | 1487753547 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/11/2025 |
| Medicare PECOS PAC ID | 8224218078 |
|---|---|
| Medicare Enrollment ID | O20110210000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487753547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rocco J Costabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962653998 PECOS PAC ID: 0042363921 Enrollment ID: I20090727000138 |
| Provider Name | Beck B Soderberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205925682 PECOS PAC ID: 3274552450 Enrollment ID: I20101229000677 |
| Provider Name | Kyle Forsyth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629183033 PECOS PAC ID: 6507046075 Enrollment ID: I20110216000048 |
| Provider Name | Gregory Narzikul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770698185 PECOS PAC ID: 1052591815 Enrollment ID: I20110216000096 |
| Provider Name | Robert W Priem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598870909 PECOS PAC ID: 3173703931 Enrollment ID: I20110226000009 |
| Provider Name | John Vincent Cugini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326501636 PECOS PAC ID: 6709114440 Enrollment ID: I20240523003995 |
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Delaware Valley Wound Care Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Lancaster Ave, Devon, PA 19333 Phone: 610-687-1400 Fax: 610-687-1065 | |
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