| Mercy Management Of Sepa | |
|
5630 Chestnut St Philadelphia PA 19139-3232 | |
| (215) 748-3100 | |
| (610) 748-1586 |
| Full Name | Mercy Management Of Sepa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5630 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Don Halberstadt (CFO) |
| Authorized Official Contact | 6105676964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Management Of Sepa 1 West Elm Street 2nd Floor Philadelphia PA 19482 Ph: (610) 567-6964 | Mercy Management Of Sepa 5630 Chestnut St Philadelphia PA 19139-3232 Ph: (215) 748-3100 |
| NPI Number | 1831189612 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831189612 | NPI | - | NPPES |
| DA5351 | Other | PA | RAILROAD MEDICARE |
| 1555770 | Other | PA | BLUE SHIELD |
| 30011129 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 1007787930163 | Medicaid | PA | |
| 18027 | Other | PA | AETNA HMO |
| 2247379000 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 61258870002 | Other | PA | CIGNA |
| 33699 | Other | PA | HEALTH PARTNERS |
| 5325477 | Other | PA | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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