Patricia Bevlock (NPI# 1760699565, PAC ID# 5294834883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1760699565 |
PAC ID by PECOS | 5294834883 |
Professional Enrollment ID | I20070622000054 |
Full Name | Patricia Bevlock |
Organization Legal Name | KAM TAREEN MD PC |
Address |
2821 Island Ave Suite 264 Philadelphia PA 19153-2314 |
Phone Number | 2158636146 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5193748861 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390222 | RIDDLE MEMORIAL HOSPITAL |
390231 | ABINGTON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1088 W Baltimore Pike, Suite 2205, Media, PA 19063-5140 | 6105657010 | DAVID A THOMAS, LTD. |
1088 W Baltimore Pike, Media, PA 19063-5140 | 6105657010 | DAVID A THOMAS, LTD. |
2821 Island Ave, Suite 264, Philadelphia, PA 19153-2314 | 2158636146 | KAM TAREEN MD PC |
2821 Island Ave, Philadelphia, PA 19153-2314 | 2158636146 | KAM TAREEN MD PC |
Organization Legal Name | KAM TAREEN MD PC |
Physicians | 1 |
Street Address |
2821 ISLAND AVE SUITE 264 |
City | PHILADELPHIA |
State | PA |
Zip | 19153-2314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angeles Gonzalez-prado | Internal Medicine | Mercy Management of Southeastern Pennsylvania | 2821 Island Ave, Suite Dande, Philadelphia, PA 19153-2300 |
Kamran Tareen | Internal Medicine | 2821 Island Ave, Suite 264, Philadelphia, PA 19153-2300 | |
Ahmed Shahzad | Nephrology | Nephrology Associates of Delaware County PC | 2821 Island Ave, Suite 131, Philadelphia, PA 19153-2327 |
Dianna Carol Falkowitz | Nephrology | Nephrology Associates of Delaware County PC | 2821 Island Ave, Suite 131, Philadelphia, PA 19153-2327 |
Aqsa Rahman | Nephrology | Nephrology Associates of Delaware County PC | 2821 Island Ave, Suite 131, Philadelphia, PA 19153-2327 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard Dimonte | General Practice | Richard Di Monte Do PC | 7418 Buist Ave, Philadelphia, PA 19153-1403 |
Raymond P Rogowski Jr. | Chiropractic | 2608 Island Ave, Philadelphia, PA 19153-1827 | |
Sean Quigley | Physician Assistant | Mercy Management of Southeastern Pennsylvania | 2821 Island Avenue Dand E, Philadelphia, PA 19153-2300 |
Donald Fox | Internal Medicine | Eastwick Primary Care | 2801 Island Ave, Suites 10 11, Philadelphia, PA 19153-2314 |
William A Croce | Podiatry | 2801 Island Ave, Suite 6, Philadelphia, PA 19153-2326 |
City | PHILADELPHIA |
Zip Code | 19153 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PHILADELPHIA + NURSE PRACTITIONER |
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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.