Organization
MERCY MANAGEMENT OF SEPA
Active
Other names
MMS-Leon Clarke, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS C SMITH (VP FINANCIAL SERVICES)
(610) 567-6964
Entity
Organization
Contact information
Practice address
501 S 54TH ST, SUITE 537, PHILADELPHIA, PA 19143-1900
(215) 748-9653
(215) 748-9667
Mailing address
1 W ELM ST, 2 ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007787930154
—
PA
01
—
125182900
OWCP
PA
01
—
1542222
BLUE SHIELD
PA
01
—
2227092000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30010808
KEYSTONE MERCY HEALTH PLA
PA
01
—
3032802
AETNA HMO
PA
01
—
4597364
AETNA PPO
PA
Enumeration date
12/20/2005
Last updated
06/16/2008
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