| Main Line Family Medicine Inc | |
|
1450 E Boot Rd Ste. 200a West Chester PA 19380-5300 | |
| (610) 296-2760 | |
| Not Available |
| Full Name | Main Line Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1450 E Boot Rd, West Chester, Pennsylvania |
| Authorized Official Name and Position | Tetyana Zelenska (PHYSICIAN) |
| Authorized Official Contact | 6102962760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Family Medicine Inc 63 Eastwood Rd Berwyn PA 19312-1610 Ph: (610) 296-2760 | Main Line Family Medicine Inc 1450 E Boot Rd Ste. 200a West Chester PA 19380-5300 Ph: (610) 296-2760 |
| NPI Number | 1073718599 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486748886 |
|---|---|
| Medicare Enrollment ID | O20070921000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073718599 | NPI | - | NPPES |
| APPLYING | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tetyana A Zelenska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639219439 PECOS PAC ID: 2365533254 Enrollment ID: I20070807000433 |
Susan Dallas-feeney, D.o., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42-46 East Strreet Road, West Chester, PA 19382 Phone: 610-399-1100 Fax: 610-399-1393 | |
Lyons Chvala Nephrology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 N Franklin St Ste 3, West Chester, PA 19380 Phone: 610-696-4956 Fax: 610-696-5263 | |
Helise Bichefsky, Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 E Marshall St, Suite 303, West Chester, PA 19380 Phone: 610-436-1584 Fax: 610-436-9057 | |
Ira M Thal, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E Boot Rd, West Chester, PA 19380 Phone: 610-692-7766 Fax: 610-918-9065 | |
Tppw. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 W Chester Pike Ste 32, West Chester, PA 19382 Phone: 484-381-0351 Fax: 610-672-7174 | |
Ellis & Sitkoff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 Lincoln Ave Ste A, West Chester, PA 19380 Phone: 610-241-0305 |