Jane M Lavelle

M.D. | Pediatric Emergency Medicine | Female

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Complete Profile:

Jane M Lavelle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Jane M Lavelle
Credential :	M.D.
Gender :	Female

Business Address:

Jane M Lavelle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med Philadelphia, PA, 19104-4319 United States
Phone Number :	215-590-1944
Fax Number :	215-590-4454

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1962425793
NPI Entity Type :	Individual
First Enrolment Date :	25 Jul, 2006
Last Updated On :	16 Apr, 2013

Medicare Participation:

Jane M Lavelle participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9436319449
Medicare Enrollment ID :	I20120329000292
Primary Specialty :	Emergency Medicine
Medical School :	Georgetown University School Of Medicine
Graduation Year :	1984
Accepts Medicare?	Yes. Jane M Lavelle accepts medicare insurance.

Group Practice Association:

Jane M Lavelle is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jane M Lavelle is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319 Ph: 2155901000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jane M Lavelle are as mentioned. Primary taxonomy code for Jane M Lavelle, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD036244E	PA
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	MD036244E	PA

Legacy Identifiers:

Other legacy medical identifiers of Jane M Lavelle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
001052333	MEDICAID	PA
2361906	MEDICAID	NJ

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	100 E Penn Sq, 9th Floor Philadelphia, PA, 19107-3323 United States
Phone Number :	267-425-9232
Fax Number :	267-425-9299

Business Location:

Patients can refer following map for directions to Jane M Lavelle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.