Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Organization
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
Active
Other names
Mercy Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON HALBERSTADT (CFO)
(610) 567-6964
Entity
Organization
Contact information
Practice address
6323 VINE ST, PHILADELPHIA, PA 19139-1032
(215) 748-8303
(215) 748-8660
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007787930163
—
PA
01
—
1555770
BLUE SHIELD
PA
01
—
2247379004
KEYSTONE HEALTH PLAN EAST
PA
01
—
30010755
KEYSTONE MERCY HEALTH PLA
PA
01
—
36431
HEALTH PARTNERS
PA
01
—
61258870002
CIGNA
PA
01
—
DA5351
RAILROAD MEDICARE
PA
Enumeration date
10/20/2005
Last updated
07/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up