Organization
FORNANCE PHYSICIAN SERVICES, INC.
Active
Other names
Montgomery Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
VERA BURNETT-ROBINS (DIRECTOR PHYSICIAN BILLING)
(484) 622-7391
Entity
Organization
Contact information
Practice address
1330 POWELL ST, SUITE 409, NORRISTOWN, PA 19401-3353
(610) 277-0964
(610) 270-2184
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018110
AETNA HMO
PA
01
—
0047315001
IBC - PC/KHPE
PA
01
—
1016391
KEYSTONE MERCY
PA
05
—
1738323
—
PA
01
—
17713
HEALTH PARTNERS SITE #
PA
01
—
2326372
CIGNA HMO/PPO
PA
01
—
4439614
AETNA PPO
PA
01
—
444971
HIGHMARK BLUE SHIELD
PA
01
—
CC4910
RRM
PA
Enumeration date
06/08/2006
Last updated
11/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us