| Mercy Management Of Southeastern Pennsylvania | |
|
501 S 54th St Philadelphia PA 19143-1900 | |
| (215) 748-9707 | |
| (215) 748-9708 |
| Full Name | Mercy Management Of Southeastern Pennsylvania |
|---|---|
| Speciality | General Practice |
| 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 Philadelphia PA 19143-1900 Ph: (215) 748-9707 |
| NPI Number | 1396721494 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396721494 | NPI | - | NPPES |
| 100778793 0157 | Medicaid | PA | |
| 1543646 | Other | PA | BLUE SHIELD COMP |
| 1543646 | Other | PA | BLUE SHIELD PA PR |
| 1543648 | Other | PA | AMERIHEALTH ADMIN |
| 2228313000 | Other | PA | AMERIHEALTH DELAWARE |
| 2228313000 | Other | PA | BLUE SHIELD LLIN |
| 33695 | Other | PA | HEALTH PARTNERS SENIOR |
| 1543646 | Other | PA | BLUE SHIELD |
| 2228313000 | Other | PA | KEYSTONE 65 SPECIAL |
| 2507496 | Other | PA | AETNA MEDICARE HMO |
| 2228313000 | Other | PA | AMERIHEALTH HMO |
| 2228313000 | Other | PA | AMERIHEALTH NEW JERSEY |
| 2228313000 | Other | PA | KEYSTONE HEALTH PLAN |
| 33695 | Other | PA | HEALTH PARTNERS |
| 125183600 | Other | PA | DEPT OF LABOR |
| 2507496 | Other | PA | AETNA HMO SPECIALIST |
| 1543646 | Other | PA | BLUE SHIELD PA 65 |
| 7770198 | Other | PA | AETNA OTHER |
| G000668600 | Other | PA | AMERICHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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