Mark Bevan (NPI# 1427139419, PAC ID# 9830170190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1427139419 |
| PAC ID by PECOS | 9830170190 |
| Professional Enrollment ID | I20040525000383 |
| Full Name | Mark Bevan |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Address |
5201 Pennell Rd Suite C Media PA 19063-6502 |
| Phone Number | 6108760347 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5890681092 |
| Number of Group Practice Members | 170 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5201 Pennell Rd, Suite C, Media, PA 19063-6502 | 6108760347 | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily L Titus | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 119 E Uwchlan Ave, Suite 201, Exton, PA 19341-1293 |
| Shivkumar Kambhampati | Diagnostic Radiology | Premier Orthopaedic and Sports Medicine Associates | 525 W Chester Pike Level, Havertown, PA 19083-4500 |
| Richard F Balotti Jr. | Physical Medicine and Rehabilitation | Premier Orthopaedic and Sports Medicine Associates | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 |
| Marni T Kanze | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 300 Springhouse Dr, Collegeville, PA 19426-3954 |
| Caitlin Wilkinson | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 780w Lincoln Hwy, Exton, PA 19341-2547 |
| Gregory Tadduni | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 5201 Pennell Rd, Suite C, Media, PA 19063-6502 |
| Jason E Rarich | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 2004 Sproul Rd, Broomall, PA 19008-3511 |
| Jeffrey Malumed | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 |
| Andrea M White | Occupational Therapy | Premier Orthopaedic and Sports Medicine Associates | 501 Macdade Blvd, Suite 2, Folsom, PA 19033-3203 |
| Charles Hummer Iii | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 2004 Foulk Rd, Suite 3, Wilmington, DE 19810-3641 |
| Street Address |
5201 PENNELL RD SUITE C |
| City | MEDIA |
| State | PA |
| Zip | 19063-6502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Tadduni | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Associates | 5201 Pennell Rd, Suite C, Media, PA 19063-6502 |
| Pramod S Lele | Internal Medicine | Prospect Health Access Network Inc | 5201 Pennell Rd, Media, PA 19063-6502 |
| Lauren V Didomenico | Physical Therapy | Premier Orthopaedic and Sports Medicine Associates | 5201 Pennell Rd, Suite C, Media, PA 19063-6502 |
| Leni S G Mampallil | Nurse Practitioner | Prospect Health Access Network Inc | 5201 Pennell Rd, Media, PA 19063-6502 |
| 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 | PHYSICAL THERAPY |
| City + Specialty | MEDIA + PHYSICAL THERAPY |
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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.