Jessica Lee (NPI# 1912369620, PAC ID# 6507153947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912369620 |
| PAC ID by PECOS | 6507153947 |
| Professional Enrollment ID | I20190724000280 |
| Full Name | Jessica Lee |
| Organization Legal Name | MAIN LINE HEALTHCARE |
| Address |
1068 W Baltimore Pike Media PA 19063-5104 |
| Phone Number | 6105669400 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| 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 |
|---|---|
| 390153 | PAOLI HOSPITAL |
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1068 W Baltimore Pike, Media, PA 19063-5104 | 6105669400 | MAIN LINE HEALTHCARE |
| 1068 W Baltimore Pike, Rmh House Phys Group, Media, PA 19063-5104 | 6106274216 | MAIN LINE HEALTHCARE |
| 255 W Lancaster Ave, Paoli, PA 19301-1763 | MAIN LINE HEALTHCARE | |
| 100 E Lancaster Ave, Wynewood, PA 19096-3450 | MAIN LINE HEALTHCARE |
| 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 |
1068 W BALTIMORE PIKE |
| City | MEDIA |
| State | PA |
| Zip | 19063-5104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaurav Pradeep Jadhav | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Lisa M Thomas | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Jennifer M Howarth | Certified Registered Nurse Anesthetist (crna) | United Anesthesia Services PC | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Amit Kumar Shori | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Syed Ali | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Robert A Bassett | Emergency Medicine | Main Line Emergency Med Associates LLC | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Omopariola Adegbola | Psychiatry | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Elizabeth T Hewitt | Anesthesiology | United Anesthesia Services PC | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Omar Abousoud | Diagnostic Radiology | Radiology Associates of The Main Line, PC | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Mihai V Diamandi | Hospitalist | Main Line Healthcare | 1068 W Baltimore Pike, Media, PA 19063-5104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bankes | Nurse Practitioner | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Jay Joseph Constantine | Endocrinology | 100 W 6th St, Suite 5, Media, PA 19063 | |
| Leon G De Masi | Preventative Medicine | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Roger C Sealy | Psychologist, Clinical | 890 Paxon Hollow Rd, Media, PA 19063-1003 | |
| Sonya Ombima | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 100 Halcyon Dr, Media, PA 19063-1041 |
| Valentine B Czubaroff | Psychiatry | 4 Saddlebrook Cir, Media, PA 19063-1053 | |
| Mitchell Jay Cohen | Clinical Psychologist | 11 Martins Run, Media, PA 19063-1057 | |
| Robert W Guerra | Optometry | 1315 N Providence Rd, Media, PA 19063-1205 | |
| Patrick Joseph Mchugh | Psychologist, Clinical | 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235 | |
| Jerry M Lazaroff | Psychologist, Clinical | 1029 N Providence Rd, Media, PA 19063-1404 | |
| Find all physicians in zip 19063 | |||
| City | MEDIA |
| Zip Code | 19063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEDIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jessica Lee.
| 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.