Organization
VERICARE OF PENNSYLVANIA, P.C.
Active
Organization
VERICARE OF PENNSYLVANIA, P.C.
Active
Other names
Vericare
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
7310 STENTON AVE, PHILADELPHIA, PA 19150-3412
(800) 360-3651
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014965090033
—
PA
01
—
404082
BLUE CROSS BLUE SHIELD
PA
01
—
612528
BLUE CROSS BLUE SHIELD
PA
01
—
908446
BLUE CROSS BLUE SHIELD
PA
01
—
CC3572
RAIL ROAD MEDICARE
PA
Enumeration date
06/07/2006
Last updated
07/10/2017
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