Myhanh T Bosse, M.D.
Individual provider Active NPI Gastroenterology Physician · Rydal, PA
NPI 1992752257 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1992752257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- MD041827 (PA)
- Practice address
- 1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711 - Phone
- (267) 620-1100
- Fax
- (215) 572-1279
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20100824000419 | PA | Practitioner - Gastroenterology | 0840333548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041827 | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amh Medical Staff Service Fund | Current |
Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
2510 Maryland Rd
Ste 200
Willow Grove, PA 19090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD041827 | PA | Yes |
Addresses
Primary practice location
1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Mailing address
1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone (267) 620-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164254 | Other | PA | KEYSTONE MERCY |
| 14617 | Other | PA | HEALTH PARTNERS |
| 231937219 | Other | PA | MULTIPLAN |
| 1035370 | Other | PA | CIGNA |
| 4310327 | Other | PA | AETNA |
| P386838 | Other | PA | OXFORD |
| 0643720000 | Other | PA | KEYASTONE EAST |
| 000739575 | Other | PA | AMERIHEALTH |
| 000739575 | Other | PA | HIGHMARK BLUE SHIELD |
| 231937219 | Other | PA | DEVON |
| 231937219 | Other | PA | FIRST HEALTH |
| 0014074650006 | Medicaid | PA | |
| 100006781 | Other | PA | PALMETTO GBA |
| 231937219 | Other | PA | TRICARE |
| 000739575 | Other | PA | PERSONAL CHOICE |
Other providers in Rydal, PA
- Jeffrey M Berman
- Kathleen Berrigan
- Julia Pleet Binder
- Pamela F. Blaskey
- Roksolana Sophia Bobko
- Christina Nora Brown
- Joseph M Bruno
- Martin Chatzinoff
- Pradip Cherian
- Blaine Cloud
All providers in Rydal, PA · Gastroenterology 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 10, 2011. 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.