| Ivyland Medical Center | |
|
1035 W Bristol Rd Suite B Warminster PA 18974-1009 | |
| (215) 442-9929 | |
| (215) 442-9927 |
| Full Name | Ivyland Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1035 W Bristol Rd, Warminster, Pennsylvania |
| Authorized Official Name and Position | Brad Paddock (OWNER) |
| Authorized Official Contact | 2154429929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivyland Medical Center 1035 W Bristol Rd Suite B Warminster PA 18974-1009 Ph: (215) 442-9929 | Ivyland Medical Center 1035 W Bristol Rd Suite B Warminster PA 18974-1009 Ph: (215) 442-9929 |
| NPI Number | 1720057474 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 3870585128 |
|---|---|
| Medicare Enrollment ID | O20040330000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720057474 | NPI | - | NPPES |
| 2864291 | Other | PA | AETNA/US HEALTHCARE |
| 30004076 | Other | PA | KEYSTONE MERCY HEALTHPLAN |
| IV1401548 | Other | PA | BLUE SHIELD OF PA |
| 2090073001 | Other | PA | INDEPENDENCE BLUE CROSS |
| 0078015690002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD071701L (Pennsylvania) | Primary |
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