Organization
PAIN CARE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY A EVERHAM (OFFICE MANAGER)
(215) 338-1811
Entity
Organization
Contact information
Practice address
6200 FRANKFORD AVE, PHILADELPHIA, PA 19135-3400
(215) 535-3980
(215) 535-5025
Mailing address
6200 FRANKFORD AVE, PHILADELPHIA, PA 19135-3400
(215) 535-3980
(215) 535-5025
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD045589L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020429
HIGHMARK BLUE SHIELD
PA
01
—
0658614000
INDEPENDENCE BLUE CROSS
PA
01
—
258129
UNISON
PA
01
—
50082873
CAPITAL BLUE CROSS
PA
01
—
5541318
AETNA
PA
Enumeration date
05/19/2006
Last updated
12/15/2010
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