| Mercy Management Of Southeastern Pennsylvania | |
|
501 S 54th St Suite 126 Philadelphia PA 19143-1900 | |
| (215) 748-9872 | |
| (215) 748-9869 |
| Full Name | Mercy Management Of Southeastern Pennsylvania |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 S 54th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Douglas C Smith (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 6105676964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Management Of Southeastern Pennsylvania 1 W Elm St 2nd Floor Conshohocken PA 19428-2007 Ph: (610) 567-6964 | Mercy Management Of Southeastern Pennsylvania 501 S 54th St Suite 126 Philadelphia PA 19143-1900 Ph: (215) 748-9872 |
| NPI Number | 1548246127 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 08/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548246127 | NPI | - | NPPES |
| 36430 | Other | PA | HEALTHPARTNERS |
| 1007787930162 | Medicaid | PA | |
| 1217362 | Other | PA | AUSHC HMO |
| 1761038 | Other | PA | BLUE SHIELD |
| 2426698000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 30031042 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 7479774 | Other | PA | AUSHC PPO |
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