Individual provider Active NPI

Millicent G Zacher, D.O.

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1508895749
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
OS004380L Issued in PA
Practice address
833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420
Phone
(215) 955-5000
Fax
(215) 923-1089
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X OS004380L PA Primary

Addresses

Primary practice location

833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420

Mailing address

833 Chestnut St
1St Floor
Philadelphia, PA 19107-4420
Phone (215) 955-5000

Other identifiers 1

IdentifierTypeStateIssuer
0010780350004MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040519000165 PA Practitioner - Obstetrics/GynecologyPractitioner - Endocrinology 4688665797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Endocrinology
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

833 Chestnut St
Suite 138
Philadelphia, PA 19107-4414
Phone (888) 855-6649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Mar 1, 2004 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Millicent G. Zacher, DO, PC Reproductive Endocrinology Past Accepting new patients
Nakisbendi & Associates, LLC., PC Past Accepting new patients

Locations

834 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 955-2117

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

833 Chestnut St
Ste 138
Philadelphia, PA 19107
Phone (888) 855-6649

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1508895749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074420",
            "telephone_number": "215-955-5000",
            "fax_number": "215-923-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT STREET",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074420",
            "telephone_number": "215-955-5000",
            "fax_number": "215-923-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHER",
        "first_name": "MILLICENT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "OS004380L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010780350004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.