| Mcshane Sports Medicine | |
|
734 E Lancaster Ave Villanova PA 19085-1325 | |
| (610) 254-8001 | |
| (610) 254-0911 |
| Full Name | Mcshane Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 734 E Lancaster Ave, Villanova, Pennsylvania |
| Authorized Official Name and Position | John M Mcshane (PRESIDENT) |
| Authorized Official Contact | 6102548001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcshane Sports Medicine 734 E Lancaster Ave Villanova PA 19085-1325 Ph: (610) 254-8001 | Mcshane Sports Medicine 734 E Lancaster Ave Villanova PA 19085-1325 Ph: (610) 254-8001 |
| NPI Number | 1831143361 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769457431 |
|---|---|
| Medicare Enrollment ID | O20040827000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831143361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | MD055461L (Pennsylvania) | Primary |
| Provider Name | John M Mcshane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932216637 PECOS PAC ID: 0446229728 Enrollment ID: I20100108000699 |
Rite Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Conestoga Rd, Villanova, PA 19085 Phone: 718-534-0689 | |
Holistic Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2017 Montgomery Ave, Villanova, PA 19085 Phone: 610-525-5254 |