Individual
DR. CAROL J. DEBAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE STE B7, WYNNEWOOD, PA 19096-3450
(484) 476-3391
(866) 848-9001
Mailing address
PO BOX 457, WYNNEWOOD, PA 19096-0457
(484) 476-3391
(866) 848-9001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD038548E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012504290002
—
PA
01
—
0517076000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1000695
KEYSTONE MERCY HEALTH
PA
01
—
250012418
RR MEDICARE
PA
01
—
2512771
AETNA
PA
01
—
5309920004
CIGNA
PA
01
—
682747
BLUE SHIELD
PA
01
—
948288
UNITED HEALTHCARE
PA
Enumeration date
01/24/2007
Last updated
04/16/2021
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