DR. MARC DONALD CONNELL JR. MD
NPI 1104666411
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 27, 2024PECOS Enrolled
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marc Donald Connell Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC DONALD CONNELL JR. MD (NPI 1104666411) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1104666411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARC DONALD CONNELL JR.Credential: MD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098
Sole ProprietorNo
Enumeration DateMay 27, 2024
NPPES CertifiedMay 26, 2024
NPI 1104666411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5501 OLD YORK RD STE 1, Philadelphia, PA 19141

Medicare Participation & PECOS Enrollment Status

Marc Connell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. MARC DONALD CONNELL JR. MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Obstetrics & Gynecology
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Physician Assistant
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104666411, enumerated as an "individual" on May 27, 2024.

The provider is located at 5501 OLD YORK RD STE 1 PHILADELPHIA, PA 19141 and the phone number is (215) 456-8520.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.