Silver Willow Wellness PC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Reading, PA
NPI 1659164697 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1659164697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- SILVER WILLOW WELLNESS PC
- Practice address
- 2395 Lancaster Pike FL 1
Reading, PA 19607-2375 - Phone
- (585) 233-2817
- Fax
- (833) 411-5741
- NPI assigned
- May 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Julie Miller
- Title
- Owner
- Phone
- (814) 505-7060
Practitioners 137
-
Lisa K Albert, CRNP
-
Scott R Ambrass, PMHNP-BC
-
Lauren Barrenechea, MSN, CRNP, PMHP-BC
-
Julianne Berol, CRNP
-
Angela D Blain, CRNP
-
Jeffrey Scott Bolger, D.O.
-
Karen Bolich, PMHNP
-
Jessica Jarosz Bowman, PA C
-
Madison Taye Carmichael, AGNP-C
-
Daisy Chebbet, PSYD
-
Vincent Peter Chiles, MSW
-
My V Cong, FNP-C
-
Sarah Grace Corle, MSN, PMHNP-BC
-
Kimberly Gwen Coslett, CRNP
-
John Paul Coxey, CRNP, DNP
-
Jolene Dalton, LPC
-
Sharada Damaraju, PSY D
-
Angela Marie Davis, LCSW
-
Danielle S. Doyle, CRNP
-
Marla Dressler-Myers, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250718000209 | CT | Part B Supplier - Clinic/Group Practice | 5597271577 |
Receives reassigned benefits from 1 practitioner Practice locations: Shelton, CT |
| O20260123000300 | PA | Part B Supplier - Clinic/Group Practice | 5597271577 |
Receives reassigned benefits from 133 practitioners Practice locations: Plymouth Meeting, PA |
National Provider Directory
Locations
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
2395 Lancaster Pike FL 1
Reading, PA 19607-2375
Mailing address
2395 Lancaster Pike FL 1
Reading, PA 19607-2375
Phone (585) 233-2817
Other practice location 1
48 Colonial Dr
Horseheads, NY 14845-8532
Phone (814) 505-7060
Other providers in Reading, PA
- Mark Siegrist
- Ana Soraya Sierra
- John Silknitter
- Stephen Glenn Sillhart
- Joel Alan Silman
- Sima Speciality Medicine PLLC
- Brenda J Simchick
- Marc C Simmons
- Pamela J Simmons
- Tara Lynn Simmons
All providers in Reading, PA · Geriatric Medicine (Internal 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 Jun 19, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.