Patricia Clancy (NPI# 1649228552, PAC ID# 1951344241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649228552 |
| PAC ID by PECOS | 1951344241 |
| Professional Enrollment ID | I20071126000025 |
| Full Name | Patricia Clancy |
| Organization Legal Name | MAIN LINE HEALTHCARE |
| Address |
525 W Chester Pike Suite 201 Havertown PA 19083-4500 |
| Phone Number | 6104499666 |
| Gender | F |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951215201 |
| Number of Group Practice Members | 572 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390195 | MAIN LINE HOSPITAL LANKENAU |
| 021310 | MANIILAQ HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 525 W Chester Pike, Suite 201, Havertown, PA 19083-4500 | 6104499666 | MAIN LINE HEALTHCARE |
| 436 5th and Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752-0043 | 9074423321 | MANIILAQ ASSOCIATION |
| Organization Legal Name | MAIN LINE HEALTHCARE |
| Physicians | 627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav Pradeep Jadhav | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Emilia Kleinman | Family Medicine | Main Line Healthcare | 154 Exton Square Mall, Family Medicine At Exton Square, Exton, PA 19341-2440 |
| Daniel Wang | Hospitalist | Main Line Healthcare | 100 E Lancaster Ave, Wynewood, PA 19096-3450 |
| Lindsey E Cobbett | Family Medicine | Main Line Healthcare | 1991 Sproul Rd, Suite 625, Broomall, PA 19008-3524 |
| Damaris S Wessel | Family Medicine | Main Line Healthcare | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 |
| Raya D Terry | Hospitalist | Main Line Healthcare | 130 S Bryn Mawr Ave H, 321 Gvh Hospital Medical Services Bryn, Bryn Mawr, PA 19010-3121 |
| Gregory C Bolton Sr. | Obstetrics/gynecology | Main Line Healthcare | 301 E City Ave, 100 Main Line Healthcare, Bala Cynwyd, PA 19004-1738 |
| Eric R Ginn | Hospitalist | Main Line Healthcare | 830 Old Lancaster Rd, Bryn Mawr, PA 19010-3118 |
| Catherine M Bergan | Family Medicine | Main Line Healthcare | 1601 Mcdaniel Dr, Suite 50, West Chester, PA 19380-7030 |
| Andrea J Becker | Cardiovascular Disease (cardiology) | Main Line Healthcare | 1100 Hector St, Suite 105, Conshohocken, PA 19428-2374 |
| Street Address |
525 W CHESTER PIKE SUITE 201 |
| City | HAVERTOWN |
| State | PA |
| Zip | 19083-4500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syed M Rizvi | Psychiatry | Syed M Rizvi Md LLC | 525 W Chester Pike, Suite 102a, Havertown, PA 19083-4539 |
| Lisa K Rooney | Psychologist, Clinical | Syed M Rizvi Md LLC | 525 W Chester Pike, Suite 102a, Havertown, PA 19083-4539 |
| Drew Joseph Barnabei | Physical Therapy | 525 W Chester Pike, Suite 104 Falcon Center, Havertown, PA 19083-4539 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luther W Brady | Radiation Oncology | Luther W Brady Md and Assoc | 2010 W Chester Pke, 115 Cyberknife Ctr of Phila, Havertown, PA 19083 |
| Barry J Toyzer | Optometry | 154 W Eagle Rd, Havertown, PA 19083-1110 | |
| Charles L Zeiders | Psychologist, Clinical | 86 W Eagle Rd, Christian Counseling, Havertown, PA 19083-1425 | |
| Allegra M Inciardi | Optometry | Negrey Eye Associates | 56 W Eagle Rd, Havertown, PA 19083-1447 |
| Giulia Tinari | Optometry | 56 W Eagle Rd, Negrey Eye Associates, Havertown, PA 19083-1447 | |
| John N Negrey Jr. | Ophthalmology | Negrey Eye Associates | 56 W Eagle Rd, Havertown, PA 19083-1447 |
| Carl D Hamsher | Internal Medicine | 57 E Eagle Rd, Havertown, PA 19083-1535 | |
| Mona Camille Cardell | Clinical Psychologist | 1618 Rose Glen Rd, Havertown, PA 19083-1810 | |
| Anne Clark Mcfadden | Physician Assistant | Pennsylvania Urgent Care Centers, Pllc | 115 W Eagle Rd, Havertown, PA 19083-2205 |
| Bryan J Ohalloran | Physical Therapy | Pain Relief and Physical Therapy, Inc. | 57 W Eagle Rd, Havertown, PA 19083-2234 |
| Find all physicians in zip 19083 | |||
| City | HAVERTOWN |
| Zip Code | 19083 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HAVERTOWN + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.