Jeanne Michelle Velasco

M.D. | Pediatric Pulmonology | Female

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Complete Profile:

Jeanne Michelle Velasco basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Jeanne Michelle Velasco
Credential :	M.D.
Gender :	Female

Business Address:

Jeanne Michelle Velasco 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 :	160 E Erie Ave Philadelphia, PA, 19134-1011 United States
Phone Number :	915-276-0232

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 :	1275852147
NPI Entity Type :	Individual
First Enrolment Date :	18 May, 2010
Last Updated On :	22 Jul, 2016

Medicare Participation:

Jeanne Michelle Velasco participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9638498389
Medicare Enrollment ID :	I20170110001525
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Medical Branch At Galveston
Graduation Year :	2009
Accepts Medicare?	Yes. Jeanne Michelle Velasco accepts medicare insurance.

Group Practice Association:

Jeanne Michelle Velasco 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 Jeanne Michelle Velasco 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
Stc Pediatrics Llc	7315372323	38	300 E Hunting Park Ave St Christophers Ped Assoc Child Protection Pca Philadelphia, PA - 191246018 Ph: 2154278363	Yes
Stc Pediatrics Llc	7315372323	38	160 E Erie Ave Philadelphia, PA - 191341011	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 Jeanne Michelle Velasco are as mentioned. Primary taxonomy code for Jeanne Michelle Velasco, M.D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	MD451816	PA

Legacy Identifiers:

Other legacy medical identifiers of Jeanne Michelle Velasco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
MD451816	Other	PA	COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

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 :	160 E Erie Ave Philadelphia, PA, 19134-1011 United States

Business Location:

Patients can refer following map for directions to Jeanne Michelle Velasco practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.