MEDICARE: HEALTH ACCESS NETWORK

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0878945023	OTHER	PA	IBC MHS GROUP
2	0091719	OTHER	PA	AETNA EPDB GROUP
3	846065	OTHER	PA	PABS GROUP AA

General Provider Information

NPI Number	:	1538377551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH ACCESS NETWORK

Provider Business Mailing Address
First Line	:	2602 W 9TH ST
Second Line	:
City	:	CHESTER
State	:	PA
Zip	:	19013-2040
Country	:	US
Telephone Number	:	610-497-7407
Fax Number	:	610-497-7487

Provider Business Practice Location Address
First Line	:	1401 LINCOLN AVE
Second Line	:
City	:	PROSPECT PARK
State	:	PA
Zip	:	19076-1107
Country	:	US
Telephone Number	:	610-532-4306
Fax Number	:	610-532-6536

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRAD PRECHTL
Credential	:
Telephone Number	:	610-338-8386

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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Directions to “HEALTH ACCESS NETWORK ” Practice Location

Language	Start Address	Practice Location

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