Julia A Elcock Vengen (NPI# 1578575940, PAC ID# 0941103725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578575940 |
| PAC ID by PECOS | 0941103725 |
| Professional Enrollment ID | I20040129000438 |
| Full Name | Julia A Elcock Vengen |
| Organization Legal Name | WEST GROVE FAMILY PRACTICE LLC |
| Address |
200 Old Forge Ln Kennett Square PA 19348-1895 |
| Phone Number | 6103884627 |
| Gender | F |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446317499 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390220 | JENNERSVILLE HOSPITAL |
| 390179 | CHESTER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Old Forge Ln, Kennett Square, PA 19348-1895 | 6103884627 | WEST GROVE FAMILY PRACTICE LLC |
| Organization Legal Name | WEST GROVE FAMILY PRACTICE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Barkasy | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Daniel Nathan Duran | Family Medicine | West Grove Family Practice LLC | 200 Old Forge Ln, Kennett Square, PA 19348-1895 |
| Roberta Ann Humble | Nurse Practitioner | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Heather Penny | Physician Assistant | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Stefanie Margit Steiner | Family Medicine | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Kimberly Tupper | Physician Assistant | West Grove Family Practice LLC | 900 W Baltimore Pike, Suite 200, West Grove, PA 19390-9313 |
| Street Address |
200 OLD FORGE LN |
| City | KENNETT SQUARE |
| State | PA |
| Zip | 19348-1895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Nathan Duran | Family Medicine | West Grove Family Practice LLC | 200 Old Forge Ln, Kennett Square, PA 19348-1895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R. Quinn | Psychologist, Clinical | 644 E Cypress St, Kennett Square Counseling Center, Kennett Square, PA 19348-0022 | |
| Marilyn S. Quinn | Psychologist, Clinical | 644 E Cypress St, Kennett Square, PA 19348-0022 | |
| Lonnie E Luscavage | Ophthalmology | 1008 Wawaset Rd, Kennett Square, PA 19348-1002 | |
| Sharon O'melia Howard | Registered Dietitian Or Nutrition Professional | 705 Denbigh Chase, Kennett Square, PA 19348-1532 | |
| Margaret Reynolds Dorgan | Clinical Social Worker | 127 W St Rd, Suite 302 Peg Dorgan Mss Lcsw, Kennett Sq, PA 19348-1698 | |
| Edward B Jenny | Psychologist, Clinical | 127 W St Rd, Suite 302, Kennett Square, PA 19348-1698 | |
| Carrie Nicole Miller Baichi | Gastroenterology | West Chester Gi Associates PC | 127 W St Rd, Suite 102, Kennett Square, PA 19348-1698 |
| Ashish Chawla | Gastroenterology | West Chester Gi Associates PC | 127 W St Rd, Suite 102, Kennett Square, PA 19348-1698 |
| Sharon J Anghel | Podiatry | Foot and Ankle Associates LLP | 692 Unionville Rd, Kennett Square, PA 19348-1704 |
| Richard J Conti | Podiatry | Foot and Ankle Associates LLP | 692 Unionville Rd, Kennett Square, PA 19348-1704 |
| Find all physicians in zip 19348 | |||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENNETT SQUARE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Julia A Elcock Vengen.
| 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.