Carly Elizabeth Haddock, PA-C
Carly Elizabeth Haddock, PA-C is a Physician Assistant in Fountain Hill, Pennsylvania. Qualified in 2019, 7 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.
- Years since qualifying
- 7
- Licensed in
- PA, VA
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
701 Ostrum St Ste 201Fountain Hill, PA 18015-1152
Phone: (484) 526-6545
Fax: (484) 526-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence MA062781 (PA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 0110-006780 (VA) |
Record details
| NPI number | 1295389849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 31, 2019 |
| Last updated in NPPES | September 1, 2021 |
| Certification date | September 1, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | St Lukes Physician Group Inc — 2127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 11 on file with Medicare |
Other providers in Fountain Hill
-
Nuha Hena Cebeci, MD
701 Ostrum St, Fountain Hill, PA 18015-1155 · (484) 526-3648
-
Malory Jane Gallagher, MD
801 Ostrum St, Fountain Hill, PA 18015-1000 · (908) 325-7510
-
Dr. Meena R. Totlani, MD
1130 Delaware Ave, Fountain Hill, PA 18015-4117 · (610) 868-2710