Organization
UNIVERSITY OF PENN-MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE L JACKSON (ENROLLMEMT LEAD)
(215) 662-6187
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Mailing address
3400 SPRUCE ST, GROUND SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
PA
207R00000X
Internal Medicine Physician
—
PA
Other
Enumeration date
12/23/2014
Last updated
11/20/2020
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