MEDICARE: REQUITTA BELLINGER

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	171M00000X	Case Manager/Care Coordinator		PA

General Provider Information

NPI Number	:	1124976832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REQUITTA BELLINGER

Provider Business Mailing Address
First Line	:	1051 S 53RD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-4147
Country	:	US
Telephone Number	:	609-206-4244
Fax Number	:	267-993-4315

Provider Business Practice Location Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-4000
Fax Number	:

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

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ REQUITTA BELLINGER ” Practice Location

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