Keystone Hospice
A Medicare group practice based in Wyndmoor, PA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3274578240), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3274578240
- Provider type
- Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
- Enrolled in
- PA
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20111121000421 | PA | Part B Supplier - Clinic/Group Practice | 1912285198 |
| O20050621001116 | PA | Part A Provider - Hospice | 1992780670 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Keystone Hospice
- Internal Medicine Physician
- Wyndmoor, PA
- NPI 1912285198
-
Keystone Hospice
- Community Based Hospice Care Agency
- Wyndmoor, PA
- NPI 1992780670
Practice locations
- Wyndmoor, PA2
- Philadelphia, PA1
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (5).
-
Samta Amin, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1235716929
-
Huma Naz Ansari, M.D.
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1225337058
-
Mary Beth Appel, N.P.
- Gerontology Nurse Practitioner
- Philadelphia, PA
- NPI 1770662975
-
Maria J Bertucci, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Wyndmoor, PA
- NPI 1457568354
-
Russell S. Breish, M.D.
- Family Medicine Physician
- Philadelphia, PA
- NPI 1174514574
-
Maura Coulter, CRNP
- Adult Health Nurse Practitioner
- Wyndmoor, PA
- NPI 1629443684
-
Danika Dellanno
- Primary Care Nurse Practitioner
- Philadelphia, PA
- NPI 1982468112
-
Justin Eppley, DNP, AGPCNP-BC
- Primary Care Nurse Practitioner
- Philadelphia, PA
- NPI 1023388824
-
Lisa Gill, CRNP
- Adult Health Nurse Practitioner
- Wyndmoor, PA
- NPI 1205876497
-
Emma Harnitchek
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1245016484
-
Mallika U Jois, FNP
- Family Nurse Practitioner
- Philadelphia, PA
- NPI 1639745656
-
Subha Joy
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
- NPI 1578154480
-
Marie C. Kelly-Tralies, CRNP-BC
- Adult Health Nurse Practitioner
- Wyndmoor, PA
- NPI 1588895817
-
Elizabeth Marie Sauer, LCSW
- Clinical Social Worker
- Wyndmoor, PA
- NPI 1932981750
-
Elham Siddiqui, MD
- Family Medicine Physician
- Yardley, PA
- NPI 1609124585
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.