Prospect Health Access Network, Inc.

Organization Active NPI Emergency Medicine Physician · Chester, PA

NPI 1568819084 · NPPES record last updated Jan 15, 2021

Key facts

NPI
1568819084
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
PROSPECT HEALTH ACCESS NETWORK, INC.
Practice address
1 Medical Center Blvd
3Rd Floor
Chester, PA 19013-3902
Phone
(215) 447-2000
Fax
(610) 617-6260
NPI assigned
May 16, 2016
Organization subpart
No

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 761

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 761

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160613000737 PA Part B Supplier - Clinic/Group Practice 5698065142 Receives reassigned benefits from 730 practitioners
25 other NPIs on this enrollment

National Provider Directory

Locations

1 Medical Center Blvd
Ste 533
Chester, PA 19013
Phone (610) 874-1184

458 Baltimore Pike
Ste 202
Glen Mills, PA 19342
Phone (610) 558-9222

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

1 Medical Center Blvd
3Rd Floor
Chester, PA 19013-3902

Mailing address

1 Medical Center Blvd
3Rd Floor
Chester, PA 19013-3902
Phone (215) 447-2000

Other names

  • HAN Emergency Physicians Other name

Other providers in Chester, PA

All providers in Chester, PA · Emergency Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.