MEDICARE: MICHELLE L PRETTYMAN M.D.

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	208000000X	Pediatrics Physician	MD445987	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609867340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE L PRETTYMAN M.D.

Provider Business Mailing Address
First Line	:	1400 S 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-5919
Country	:	US
Telephone Number	:	215-467-3515
Fax Number	:	215-467-0038

Provider Business Practice Location Address
First Line	:	1400 S. 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147
Country	:	US
Telephone Number	:	215-467-3515
Fax Number	:	215-467-0038

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	09/17/2013

Similar Medicare Providers

1013644905 — KATHERINE SANTA MARIA MS, LPC
Practice Location Address:

401 S 2ND ST STE 401
PHILADELPHIA, PA
19147-1612

Practice Phone: 267-715-0693
Practice Fax:

1447253372 — DR. WESTLEY BYRNE
Practice Location Address:

1400 S 5TH ST
PHILADELPHIA, PA
19147-5919

Practice Phone: 215-467-3515
Practice Fax:

1962408419 — BERTOLINOS PHARMACY INC
Practice Location Address:

1500 S 12TH ST
PHILADELPHIA, PA
19147-6202

Practice Phone: 215-389-5917
Practice Fax: 215-389-5917

1346246998 — DR. NGOC AN PHAN M.D.
Practice Location Address:

909 S 11TH ST
PHILADELPHIA, PA
19147-3701

Practice Phone: 215-923-6080
Practice Fax:

1588661235 — ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.
Practice Location Address:

420 BAINBRIDGE ST
PHILADELPHIA, PA
19147-1568

Practice Phone: 215-629-1270
Practice Fax: 215-629-1293

1962401521 — MRS. DEBORAH MARIE LYNCH-JOHNSON PT, CERT MDT
Practice Location Address:

420 BAINBRIDGE ST
PHILADELPHIA, PA
19147-1568

Practice Phone: 215-629-1270
Practice Fax: 215-629-5531

1114926698 — KIMBERLY WALLACE PT
Practice Location Address:

420 BAINBRIDGE ST , 453 LOWER INDIAN HEAD ROAD
PHILADELPHIA, PA
19147-1568

Practice Phone: 215-629-3837
Practice Fax: 215-629-5531

Directions to “ MICHELLE L PRETTYMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.