Rebecca McIntosh, MD
Individual provider Active NPI Pediatrics Physician · Wind Gap, PA
NPI 1639675663 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1639675663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD474558 (PA)
- Practice address
- 487 E Moorestown Rd
Wind Gap, PA 18091-9662 - Phone
- (484) 526-7740
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20230915002849 | PA | Practitioner - Pediatric Medicine | 8820452378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Pediatrics | Current |
Accepting new patients |
| Advocare , LLC | Current |
Accepting new patients | |
| St. Luke'S Physician Group, Inc | Past | Accepting new patients |
Locations
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400
Interoperability endpoints
- rebecca.mcintosh@slpg.direct-sluhn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD474558 | PA | Yes |
Addresses
Primary practice location
487 E Moorestown Rd
Wind Gap, PA 18091-9662
Mailing address
487 E Moorestown Rd
Wind Gap, PA 18091-9662
Phone (484) 526-7740
Other providers in Wind Gap, PA
- LVHN Coordinated Professional Practice
- Mark W. Powell, M.D. and Sheila M. Borick, M.D.
- Jill Marshall
- Harry Maryanski
- Donna R Mason
- Mente Health LLC
- Connor William Morro
- Rehan Mujahid
- Briana Newman
- Northampton Chiropractic Center Inc
All providers in Wind Gap, PA · Pediatrics 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 Feb 9, 2024. 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.