Patricia Callow
Individual provider Active NPI Nurse Practitioner · Newtown Square, PA
NPI 1336673227 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1336673227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP017394 (PA)
- Practice address
- 40 Media Line Rd
Newtown Square, PA 19073-4647 - Phone
- (610) 304-2862
- NPI assigned
- Apr 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170606000756 | PA | Practitioner - Nurse Practitioner | 1759658164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1098 W Baltimore Pike
Ste 3101
Media, PA 19063
Phone (610) 891-9277
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP017394 | PA | Yes |
Addresses
Primary practice location
40 Media Line Rd
Newtown Square, PA 19073-4647
Mailing address
40 Media Line Rd
Newtown Square, PA 19073-4647
Other providers in Newtown Square, PA
- Richard Thomas Bruce
- Mollie L Burda
- Kimberly Drake Burdick
- Brett Burns
- Jenna L Cades
- Katherine Diane Canakis
- John Cappello
- Carango & Sutera Therapy Associates, LLC
- Bridget Mary Carango
- Carbon Health Medical Group of Florida PA
All providers in Newtown Square, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.