Prohealth Clinic - Medicare Primary Care in Bensalem, PA

Prohealth Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bensalem, Pennsylvania. The current practice location for Prohealth Clinic is 2742 Knights Rd, Bensalem, Pennsylvania. For appointments, you can reach them via phone at (215) 244-9894. The mailing address for Prohealth Clinic is 9715 Jeanes St, Philadelphia, Pennsylvania and phone number is (201) 417-3050.

Prohealth Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679156632. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (215) 244-9894.

Contact Information

Prohealth Clinic
2742 Knights Rd
Bensalem
PA 19020-3526
(215) 244-9894
(215) 244-9896

Map and Direction


Primary Care Clinic Profile

Full NameProhealth Clinic
SpecialityClinic/Center
Location2742 Knights Rd, Bensalem, Pennsylvania
Authorized Official Name and PositionSibi Mathew (OWNER)
Authorized Official Contact2014173050
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prohealth Clinic
9715 Jeanes St
Philadelphia
PA 19115-1901

Ph: (201) 417-3050
Prohealth Clinic
2742 Knights Rd
Bensalem
PA 19020-3526

Ph: (215) 244-9894

NPI Details:

NPI Number1679156632
Provider Enumeration Date04/28/2021
Last Update Date11/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6901280353
Medicare Enrollment IDO20220902000100

Medical Identifiers

Medical identifiers for Prohealth Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679156632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prohealth Clinic acts as a billing entity for following providers:
Provider NameBlossom Joy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093784142
PECOS PAC ID: 8426955451
Enrollment ID: I20080701000407
Provider NameSibi Mathew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780078352
PECOS PAC ID: 7113220757
Enrollment ID: I20160114002051
Provider NameAshly Soby Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770232985
PECOS PAC ID: 4880073394
Enrollment ID: I20220701002258

Reviews and Comments


Clinic/Center in Bensalem, PA

Bristol Pike Family Practice
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Medicare: Not Enrolled in Medicare
Practice Location: 2807 Bristol Pike, Bensalem, PA 19020
Phone: 215-639-1281    Fax: 215-639-3016
Tillman Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3220 Tillman Dr Ste 101, Bensalem, PA 19020
Phone: 215-639-1281    Fax: 215-639-3016
Bucks County Health Improvement Partnership
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2546 B Knights Rd, Bensalem, PA 19020
Phone: 215-633-8397    Fax: 215-633-0241
St. Mary Family Medicine Bensalem
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3331 Street Rd Ste 140, Bensalem, PA 19020
Phone: 215-245-8873    Fax: 215-245-8895
Jay H And Vijaya J Shah Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2562 Knights Rd, Bensalem, PA 19020
Phone: 215-244-6363    Fax: 215-244-6365
Karen E. Fox,d.o. & Associates,p.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3070 Bristol Pike, Building 2 Suite 132, Bensalem, PA 19020
Phone: 215-638-8568    
Knights Medical Associates Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3034 Knights Rd, Bensalem, PA 19020
Phone: 215-638-7400    Fax: 215-244-6524

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.