MEDICARE: JEANETTE M MORRISON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS006890L	PA
2	208D00000X	General Practice Physician	OS006890L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00180738/DC5012	OTHER	PA	RRM
2	10932815	OTHER	PA	CAQH ID#
3	0161121705	OTHER	PA	AMERICHOICE (UHC MA PLAN)
4	0510549000	OTHER	PA	IBC - PC/KHPE
5	2075271	OTHER	PA	CIGNA HMO/PPO
6	9089035	OTHER	PA	PHCS
7	2538354	OTHER	PA	AETNA HMO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	16523-OS006890L	OTHER	PA	HEALTH PARTNERS
10	0510549000	OTHER	PA	AMERIHEALTH/INTERCOUNTY
11	2123929	OTHER	PA	ALLIANCE/OPT CHC (MAMSI)
12	P2651836	OTHER	PA	OXFORD
13	1163092	OTHER	PA	KEYSTONE MERCY
14	4269395	OTHER	PA	AETNA PPO
15	677032	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1558302604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE M MORRISON DO

Provider Business Mailing Address
First Line	:	PO BOX 525
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-0525
Country	:	US
Telephone Number	:	610-933-8000
Fax Number	:	610-917-1326

Provider Business Practice Location Address
First Line	:	826 MAIN ST
Second Line	:	SUITE 100
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-4459
Country	:	US
Telephone Number	:	610-933-8484
Fax Number	:	610-917-1326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/12/2013

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