Dale Eric Panzer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD050187-L Issued in PA

Practice address

1305 Lafayette Rd
Gladwyne, PA 19035-1111

Phone

(610) 651-0657

Fax

(610) 722-0704

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1114022274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 LAFAYETTE RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351111",
            "telephone_number": "610-651-0657",
            "fax_number": "610-722-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAFAYETTE RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351111",
            "telephone_number": "610-651-0657",
            "fax_number": "610-722-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZER",
        "first_name": "DALE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD050187-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Daly Moore, M.D.
• Giancarlo Philip Morreale, OTR/L
• Maria Camila Munoz, MD
• Sandra Neumann, OT
• Melisa Oken Furman, LCSW
• Nina B. Panzer, M.S.W., L.S.W.
• Polaris Pharmacy Services of Warrington, LLC
• Deborah Cordes Porcelli, OTR/L
• Jonathan Mark Raines, M.D.
• Alyson Beth Simpson, MD

• Psychiatry Physician in Gladwyne, PA
• Providers in Gladwyne, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.