| Penn Medicine-pma | |
|
2650 Egypt Rd Audubon PA 19403-2302 | |
| (215) 662-6187 | |
| Not Available |
| Full Name | Penn Medicine-pma |
|---|---|
| Speciality | Internal Medicine |
| Location | 2650 Egypt Rd, Audubon, Pennsylvania |
| Authorized Official Name and Position | Chante Jackson (PAYER SUPERVISOR) |
| Authorized Official Contact | 2672077303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine-pma 150 Monument Rd Bala Cynwyd PA 19004-1702 Ph: () - | Penn Medicine-pma 2650 Egypt Rd Audubon PA 19403-2302 Ph: (215) 662-6187 |
| NPI Number | 1144895970 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 6507269370 |
|---|---|
| Medicare Enrollment ID | O20210730002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144895970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hang Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295817013 PECOS PAC ID: 3577523943 Enrollment ID: I20041012000437 |
| Provider Name | Alan L. Keiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982786786 PECOS PAC ID: 9335101468 Enrollment ID: I20041101000990 |
| Provider Name | York C Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649317058 PECOS PAC ID: 6002878139 Enrollment ID: I20041101001023 |
| Provider Name | Burton H Ginsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013080670 PECOS PAC ID: 4789653619 Enrollment ID: I20041102000097 |
| Provider Name | Michael J Zappitelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740253970 PECOS PAC ID: 8123065463 Enrollment ID: I20050408000500 |
| Provider Name | Janice Lynn Sumner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508919440 PECOS PAC ID: 8224045372 Enrollment ID: I20060314000536 |
| Provider Name | Manjula Kandaa Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275533390 PECOS PAC ID: 5294732764 Enrollment ID: I20061025000427 |
| Provider Name | Leroy B Fleischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902809791 PECOS PAC ID: 9032275193 Enrollment ID: I20090226000036 |
| Provider Name | Leila C Dumagsa-mcgowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134315658 PECOS PAC ID: 0941346118 Enrollment ID: I20091002000040 |
| Provider Name | Robert W Hindman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992705552 PECOS PAC ID: 1456487172 Enrollment ID: I20100331001103 |
| Provider Name | Stephen Humbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871595041 PECOS PAC ID: 2365572427 Enrollment ID: I20100616000380 |
| Provider Name | Karl Schwabe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932101235 PECOS PAC ID: 9830229921 Enrollment ID: I20100616000727 |
| Provider Name | Robert Shusman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609873991 PECOS PAC ID: 8820129711 Enrollment ID: I20100621000555 |
| Provider Name | Daniel S Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598767816 PECOS PAC ID: 8325179369 Enrollment ID: I20100708000376 |
| Provider Name | Mary Ann Leary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104810860 PECOS PAC ID: 0446444160 Enrollment ID: I20101027000171 |
| Provider Name | Robert A Kimelheim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508837766 PECOS PAC ID: 6103720503 Enrollment ID: I20101108000465 |
| Provider Name | Christine M Zabel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689677486 PECOS PAC ID: 2163605296 Enrollment ID: I20110325000671 |
| Provider Name | Sakthipriya Janarthanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275828253 PECOS PAC ID: 0143499178 Enrollment ID: I20110809000504 |
| Provider Name | Mark B Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295871598 PECOS PAC ID: 7214102359 Enrollment ID: I20111219000599 |
| Provider Name | Joel W Eisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053416008 PECOS PAC ID: 0143496141 Enrollment ID: I20111221000590 |
| Provider Name | Mark S Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467491050 PECOS PAC ID: 2466628490 Enrollment ID: I20111222000064 |
| Provider Name | Somera A Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215079330 PECOS PAC ID: 9638345663 Enrollment ID: I20111222000074 |
| Provider Name | Matthew B Naegle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033291844 PECOS PAC ID: 7214103746 Enrollment ID: I20120104000282 |
| Provider Name | Richard M Saunders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528111069 PECOS PAC ID: 3678749116 Enrollment ID: I20120104000412 |
| Provider Name | Raymond J Kovalski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861588006 PECOS PAC ID: 9638345986 Enrollment ID: I20120109000200 |
| Provider Name | Victoria Korkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669792313 PECOS PAC ID: 1759538598 Enrollment ID: I20120829000553 |
| Provider Name | Megan Breslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780933358 PECOS PAC ID: 3274782727 Enrollment ID: I20120927000517 |
| Provider Name | Meg Lorraine Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049235 PECOS PAC ID: 6406008937 Enrollment ID: I20121210000188 |
| Provider Name | Melissa Lynne Hawtin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184910556 PECOS PAC ID: 0941425722 Enrollment ID: I20140711000017 |
| Provider Name | Mbettie Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231372 PECOS PAC ID: 2961725783 Enrollment ID: I20150102000378 |
| Provider Name | Julianne R Campfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073913273 PECOS PAC ID: 7416273966 Enrollment ID: I20150227002079 |
| Provider Name | Mary A Kadysh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518226760 PECOS PAC ID: 6507189016 Enrollment ID: I20150623000420 |
| Provider Name | Maria C Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277767 PECOS PAC ID: 4385954601 Enrollment ID: I20151117000343 |
| Provider Name | Jillian Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508128398 PECOS PAC ID: 9436450509 Enrollment ID: I20151214002059 |
| Provider Name | Curtis L Nolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639462393 PECOS PAC ID: 2163643362 Enrollment ID: I20160121002147 |
| Provider Name | Colin Ligon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316180540 PECOS PAC ID: 6002070125 Enrollment ID: I20160701000333 |
| Provider Name | Patricia Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413879 PECOS PAC ID: 9739466640 Enrollment ID: I20170502001924 |
| Provider Name | James P Corrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538157680 PECOS PAC ID: 2567548092 Enrollment ID: I20180313000814 |
| Provider Name | Ashley V Hooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518469832 PECOS PAC ID: 4880958693 Enrollment ID: I20180502002751 |
| Provider Name | Benjamin Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922341528 PECOS PAC ID: 3375849573 Enrollment ID: I20180508002642 |
| Provider Name | Leanne Gauger Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124661939 PECOS PAC ID: 5294160735 Enrollment ID: I20200110001606 |
| Provider Name | Rachel Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184261455 PECOS PAC ID: 9739519125 Enrollment ID: I20200427001845 |
| Provider Name | Kiera Mcelrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346652765 PECOS PAC ID: 0648496588 Enrollment ID: I20210119000945 |
| Provider Name | Amy Miskiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265013429 PECOS PAC ID: 4183024953 Enrollment ID: I20210616000243 |
| Provider Name | Stephanie Heintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356099071 PECOS PAC ID: 9638566490 Enrollment ID: I20220425002199 |
| Provider Name | Roger Tommy Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821706698 PECOS PAC ID: 0345613204 Enrollment ID: I20230224001135 |
| Provider Name | Kaitlyn E Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295442358 PECOS PAC ID: 9537524384 Enrollment ID: I20230428002866 |
| Provider Name | Janet Zolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699755843 PECOS PAC ID: 5092896910 Enrollment ID: I20230728002336 |
| Provider Name | Kendall Cliatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407483266 PECOS PAC ID: 8022428911 Enrollment ID: I20230811000060 |
Penn Medicine-pma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 Egypt Rd, Audubon, PA 19403 Phone: 215-662-6187 | |
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