MEDICARE: SCOTT L COHEN 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	OS008256L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2186323	OTHER	PA	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	30116552	OTHER	PA	KEYSTONE MERCY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	890518	OTHER	PA	HIGHMARK BLUE SHIELD
6	0120625000	OTHER	PA	KEYSTONE IBC

General Provider Information

NPI Number	:	1093785370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT L COHEN DO

Provider Business Mailing Address
First Line	:	4533 NEW FALLS RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-3004
Country	:	US
Telephone Number	:	267-540-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4533 NEW FALLS RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19056-3004
Country	:	US
Telephone Number	:	267-540-8220
Fax Number	:

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	06/02/2023

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Directions to “ SCOTT L COHEN DO” Practice Location

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