Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Fane, MD

Individual provider Emergency Medicine Physician · NPI 1760831333

Jackie Fane, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from University of Florida College of Medicine in 2016, 10 years ago. Practices with Tennessee River Physicians, PLLC, a 65-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

230 N Broad St
Philadelphia, PA 19102-1121
Phone: (215) 762-2618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MT211533 (FL)

Record details

NPI number1760831333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2016
Last updated in NPPESJune 6, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Tennessee River Physicians, Pllc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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