Organization
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC
Active
Other names
Miller Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
2929 ARCH ST STE 1740, PHILADELPHIA, PA 19104-2857
(267) 571-0991
(215) 739-1124
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600005028
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1000003158
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
100793630
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002511000
KEYSTONE HEALTH PLAN EAS
PA
01
—
0099444
AETNA
PA
05
—
0141992
—
NJ
01
—
0164346201
AMERICHOICE
PA
01
—
1019538
KEYSTONE MERCY
PA
05
—
1020539910006
—
PA
01
—
11912
HEALTH PARTNERS
PA
01
—
213948
IBC PERSONAL CHOICE
PA
Enumeration date
08/02/2005
Last updated
06/23/2026
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