Susan Packer, MD
Individual provider Active NPI Family Medicine Physician · Willow Grove, PA
NPI 1497719249 · NPPES record last updated Jan 27, 2017
Key facts
- NPI
- 1497719249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD 025180E (PA)
- Practice address
- 2603 Easton Road
Willow Grove, PA 19090-1009 - Phone
- (267) 537-3300
- Fax
- (267) 537-2939
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Einstein Community Health Associates Inc
Abington Memorial Hospital
Practice addresses (Care Compare)
101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937
1380 Easton Rd
Warrington, PA 18976-1818
Phone (215) 491-5063
1400 Old York Rd
Suite a
Abington, PA 19001-2600
Phone (215) 576-1776
Hospital & facility affiliations
- Jefferson Health at Home by Bayada
- Jefferson Health- Northeast
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823000298 | PA | Practitioner - Internal Medicine |
6204867906 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 025180E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Family Medicine | Current |
Accepting new patients |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| Abington Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Temple Physicians Inc | Family Medicine | Current |
Accepting new patients |
| Abington Memorial Hospital | Current |
Accepting new patients | |
| Einstein Community Health Associates, Inc | Current |
Accepting new patients | |
| Temple Physician Inc. | Current |
Accepting new patients | |
| Temple Physicians Inc | Past | Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Past | Accepting new patients |
| Temple Physicians Inc | Past | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1400 York Rd
Abington, PA 19001
Phone (215) 481-6106
1400 Old York Rd
Ste A
Abington, PA 19001
Phone (215) 576-1776
515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
261 Old York Rd
Ste 216
Jenkintown, PA 19046
Phone (215) 884-3800
7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522
101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937
400 Huntingdon Pike
Ste C
Rockledge, PA 19046
Phone (215) 780-2000
1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 025180E | PA | Yes |
Addresses
Primary practice location
2603 Easton Road
Willow Grove, PA 19090-1009
Mailing address
2603 Easton Road
Willow Grove, PA 19090-1009
Phone (267) 537-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597586 | Other | PA | TPI GROUP MEDICARE ID |
| 1007278000 | Other | PA | TPI GROUP MEDICAID ID |
| CD4829 | Other | PA | TPI RAILROAD MEDICARE GROUP |
Other providers in Willow Grove, PA
- Mary B Okoren
- Joseph Onyeizu
- Tanisha Ortiz
- Evelyn Osei
- Osp, LLC
- Alexandra Taylor Paddock
- David Paone
- Katelyn Park
- Yaena Park
- Inessa Parkansky
All providers in Willow Grove, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.