| Family Medicine Collegeville Tower Health Medical Group | |
|
555 Second Ave Ste D-201 Collegeville PA 19426-3642 | |
| (610) 831-2280 | |
| Not Available |
| Full Name | Family Medicine Collegeville Tower Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 555 Second Ave Ste D-201, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Robert Ehinger (SR VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 4846284681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Collegeville Tower Health Medical Group 7100 Commerce Way Ste 180 Brentwood TN 37027-2829 Ph: (615) 465-7000 | Family Medicine Collegeville Tower Health Medical Group 555 Second Ave Ste D-201 Collegeville PA 19426-3642 Ph: (610) 831-2280 |
| NPI Number | 1912192337 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 11/20/2021 |
| Medicare PECOS PAC ID | 4183704554 |
|---|---|
| Medicare Enrollment ID | O20080110000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912192337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melody Hu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1982744769 PECOS PAC ID: 3173602232 Enrollment ID: I20091222000647 |
| Provider Name | Jillian Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508128398 PECOS PAC ID: 9436450509 Enrollment ID: I20151214002059 |
| Provider Name | Kathryn Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689170458 PECOS PAC ID: 4082979513 Enrollment ID: I20180604000051 |
| Provider Name | Holly Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104275387 PECOS PAC ID: 2466745609 Enrollment ID: I20191127001068 |
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