| Prevention Point Philadelphia | |
|
2913-15 Kensington Ave Philadelphia PA 19134-3016 | |
| (609) 505-9287 | |
| Not Available |
| Full Name | Prevention Point Philadelphia |
|---|---|
| Speciality | Family Medicine |
| Location | 2913-15 Kensington Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Silvana Mazzella (INTERIM LEAD EXECUTIVE OFFICIER) |
| Authorized Official Contact | 2159755419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Point Philadelphia Po Box 60990 Philadelphia PA 19133-0990 Ph: (215) 589-5555 | Prevention Point Philadelphia 2913-15 Kensington Ave Philadelphia PA 19134-3016 Ph: (609) 505-9287 |
| NPI Number | 1679043152 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 6901347251 |
|---|---|
| Medicare Enrollment ID | O20240926001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679043152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David M Barclay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396733325 PECOS PAC ID: 0042115289 Enrollment ID: I20031202000083 |
| Provider Name | Monika Vansant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441683 PECOS PAC ID: 7012986771 Enrollment ID: I20040929000506 |
| Provider Name | Serge-emile Simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477626620 PECOS PAC ID: 2466551429 Enrollment ID: I20080507000585 |
| Provider Name | Judy Sara Chertok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720246002 PECOS PAC ID: 9032303516 Enrollment ID: I20120615000223 |
| Provider Name | Jessica Ann Meisner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124465653 PECOS PAC ID: 9638427412 Enrollment ID: I20180810000990 |
| Provider Name | Benjamin Frank Cocchiaro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336529890 PECOS PAC ID: 9537413521 Enrollment ID: I20181109001111 |
| Provider Name | Kristi A Petrillo Straub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871227 PECOS PAC ID: 0749712883 Enrollment ID: I20241015001318 |
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