| Main Line Medical Group Ltd | |
|
857 Montgomery Ave Narberth PA 19072-1541 | |
| (610) 664-2951 | |
| (610) 664-2131 |
| Full Name | Main Line Medical Group Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 857 Montgomery Ave, Narberth, Pennsylvania |
| Authorized Official Name and Position | Robert Weisberg (SECRETARY/TREASURER) |
| Authorized Official Contact | 6106642951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Medical Group Ltd 857 Montgomery Ave Narberth PA 19072-1541 Ph: (610) 664-2951 | Main Line Medical Group Ltd 857 Montgomery Ave Narberth PA 19072-1541 Ph: (610) 664-2951 |
| NPI Number | 1760415913 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/05/2009 |
| Medicare PECOS PAC ID | 9830003599 |
|---|---|
| Medicare Enrollment ID | O20031117000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760415913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aribelle D Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497832729 PECOS PAC ID: 8820902075 Enrollment ID: I20031113000155 |
| Provider Name | Alison Jean Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215096243 PECOS PAC ID: 2264534684 Enrollment ID: I20070302000276 |
| Provider Name | Anthony Michael Letizio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558538074 PECOS PAC ID: 2860562220 Enrollment ID: I20090923000754 |
| Provider Name | Michael B Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285691659 PECOS PAC ID: 6204962509 Enrollment ID: I20100325000745 |
| Provider Name | Robert A Weisberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639116650 PECOS PAC ID: 9234043902 Enrollment ID: I20101207000049 |
| Provider Name | Jerry A Cohen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629015680 PECOS PAC ID: 1850317116 Enrollment ID: I20110518000409 |
| Provider Name | Jeffrey Thorley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982627121 PECOS PAC ID: 1355388158 Enrollment ID: I20110803000382 |
| Provider Name | Steven C Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427005735 PECOS PAC ID: 4486670742 Enrollment ID: I20110829000468 |
| Provider Name | Elizabeth A Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023013513 PECOS PAC ID: 4486546660 Enrollment ID: I20140714001804 |
| Provider Name | Robert J Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467581025 PECOS PAC ID: 3476537986 Enrollment ID: I20150330000167 |
| Provider Name | Ephraim Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932536232 PECOS PAC ID: 0749597920 Enrollment ID: I20150921002093 |
| Provider Name | Daniel Deprince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023080306 PECOS PAC ID: 8325035157 Enrollment ID: I20160311000129 |
| Provider Name | Clementina N Okorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396241568 PECOS PAC ID: 8820351026 Enrollment ID: I20180423002079 |
| Provider Name | Viktoriya Makarova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396251815 PECOS PAC ID: 5991069189 Enrollment ID: I20180516002681 |
| Provider Name | Franklin Ikechukwu Ugbode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801386453 PECOS PAC ID: 0941691976 Enrollment ID: I20211229001011 |
| Provider Name | Heather Lynn Dowd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225237480 PECOS PAC ID: 9234271602 Enrollment ID: I20230626001881 |
Laurie J. Friedlander Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31b N Narberth Ave, Narberth, PA 19072 Phone: 215-906-8914 | |
Todd A Hoover, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 Montgomery Ave, Suite 306, Narberth, PA 19072 Phone: 610-667-2138 | |
William T. Chain, Jr., M.d Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Windsor Ave, Narberth, PA 19072 Phone: 610-664-7909 Fax: 610-664-7915 | |
Karen Nielsen, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 Montgomery Ave, Suite 315, Narberth, PA 19072 Phone: 610-667-4601 Fax: 610-667-6416 | |
Integrative Pain Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 954 Montgomery Ave, Suite 3, Narberth, PA 19072 Phone: 610-664-1391 | |
Green Healthcare Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 Montgomery Ave, Suite 318, Narberth, PA 19072 Phone: 610-667-2506 Fax: 610-667-2508 | |
Lower Merion Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 N Narberth Ave, Narberth, PA 19072 Phone: 610-667-0650 Fax: 610-667-1481 |