| Peace Valley Internal Medicine Pc | |
|
5039 Swamp Road Suite 401 Fountainville PA 18923-9667 | |
| (215) 230-8380 | |
| (215) 230-8370 |
| Full Name | Peace Valley Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5039 Swamp Road, Fountainville, Pennsylvania |
| Authorized Official Name and Position | Susan M Purcell (TREASURER) |
| Authorized Official Contact | 2152308380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Valley Internal Medicine Pc 5039 Swamp Road Suite 401 Fountainville PA 18923-9667 Ph: (215) 230-8380 | Peace Valley Internal Medicine Pc 5039 Swamp Road Suite 401 Fountainville PA 18923-9667 Ph: (215) 230-8380 |
| NPI Number | 1578658928 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/20/2010 |
| Medicare PECOS PAC ID | 8224018569 |
|---|---|
| Medicare Enrollment ID | O20040726000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578658928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
| Provider Name | Susan Lipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366591307 PECOS PAC ID: 1557370020 Enrollment ID: I20060411000465 |
| Provider Name | Alan Ira Abramowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730181595 PECOS PAC ID: 6204934896 Enrollment ID: I20070605000526 |
| Provider Name | Susan M Purcell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912092230 PECOS PAC ID: 7113907460 Enrollment ID: I20100824000364 |
| Provider Name | Jennifer Shoup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962793059 PECOS PAC ID: 6305017302 Enrollment ID: I20110923000245 |
| Provider Name | Diane Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750784971 PECOS PAC ID: 2466730692 Enrollment ID: I20180411000693 |
| Provider Name | Margaret Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699296749 PECOS PAC ID: 3274895867 Enrollment ID: I20180815002376 |
| Provider Name | Michael Wortell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932718582 PECOS PAC ID: 2264837012 Enrollment ID: I20210818000026 |
| Provider Name | Ashley Justine Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932823523 PECOS PAC ID: 1355793506 Enrollment ID: I20240123004283 |