| Fornance Physician Services, Inc. | |
|
4070 Butler Pike Ste 200 Plymouth Meeting PA 19462-1510 | |
| (108) 255-7416 | |
| (610) 825-2501 |
| Full Name | Fornance Physician Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4070 Butler Pike Ste 200, Plymouth Meeting, Pennsylvania |
| Authorized Official Name and Position | Vera Burnett-robins (DIRECTOR PHYSICIAN BILLING) |
| Authorized Official Contact | 4846227391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fornance Physician Services, Inc. Po Box 789967 Philadelphia PA 19178-9967 Ph: (484) 622-7395 | Fornance Physician Services, Inc. 4070 Butler Pike Ste 200 Plymouth Meeting PA 19462-1510 Ph: (108) 255-7416 |
| NPI Number | 1497792931 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497792931 | NPI | - | NPPES |
| 36452 | Other | PA | HEALTH PARTNERS |
| 0005380 | Other | PA | AETNA HMO |
| 2124021 | Other | PA | ALLIANCE/OPT CHC (MAMSI) |
| 454610 | Other | PA | HIGHMARK BLUE SHIELD |
| 0047317001 | Other | PA | IBC - PC/KHPE |
| 1738323 | Other | PA | OMAP |
| 4439597 | Other | PA | AETNA PPO |
| 0047317001 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 0282506 | Other | PA | CIGNA HMO/PPO |
| 1026915 | Other | PA | KEYSTONE MERCY |
| CI1395 | Other | PA | RRM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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