| Pai Participant 5 Pc | |
|
1526 Lombard St Philadelphia PA 19146-1625 | |
| (215) 546-5960 | |
| (215) 732-7450 |
| Full Name | Pai Participant 5 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1526 Lombard St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Erin N Laird (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4104588713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 5 Pc Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 5 Pc 1526 Lombard St Philadelphia PA 19146-1625 Ph: (215) 546-5960 |
| NPI Number | 1194381947 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 8325372881 |
|---|---|
| Medicare Enrollment ID | O20190703000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194381947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary B Bernett |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548204985 PECOS PAC ID: 4486559341 Enrollment ID: I20031204000023 |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Center City Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 W Tabor Rd, Suite 205, Philadelphia, PA 19141 Phone: 215-924-6210 | |
Solis Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 |