| Ross Podell, M.d., P.c. | |
|
250 W Lancaster Ave Suite 200 Paoli PA 19301-1751 | |
| (610) 889-7530 | |
| (610) 889-7531 |
| Full Name | Ross Podell, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 W Lancaster Ave, Paoli, Pennsylvania |
| Authorized Official Name and Position | Ross D. Podell (PHYSICIAN) |
| Authorized Official Contact | 6108897530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Podell, M.d., P.c. 250 West Lancaster Avenue Suite 200 Paoli PA 19301-1751 Ph: (610) 889-7530 | Ross Podell, M.d., P.c. 250 W Lancaster Ave Suite 200 Paoli PA 19301-1751 Ph: (610) 889-7530 |
| NPI Number | 1528259637 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 8426145822 |
|---|---|
| Medicare Enrollment ID | O20071101000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528259637 | NPI | - | NPPES |
| 2008792001 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1315429 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD066922L (Pennsylvania) | Primary |
| Provider Name | Ross D Podell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285663187 PECOS PAC ID: 3971690553 Enrollment ID: I20071029000589 |
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