PENNSYLVANIA PHYSICIANS SERVICES, LLC
NPI 1265711824
Family Medicine in Paoli, PA

Active since August 12, 2011
209 W LANCASTER AVE, PAOLI, PA 19301(610) 644-2382(610) 644-7517 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Apr 27, 2021, Sep 20, 2019 (3 updates tracked since 2019).

About Pennsylvania Physicians Services, Llc NPPES

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

PENNSYLVANIA PHYSICIANS SERVICES, LLC (NPI 1265711824) is a healthcare organization registered as a family medicine in Paoli, Pennsylvania and active in the NPI registry since August 2011. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1265711824
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePENNSYLVANIA PHYSICIANS SERVICES, LLC
Location Address209 W LANCASTER AVEPaoli, PA 19301-1749
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264 · (888) 829-8550
Fax(610) 644-7517
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateAugust 12, 2011
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1265711824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
209 W LANCASTER AVE, Paoli, PA 19301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 00399 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 00399

DMEPOS supplier · Paoli, PAOperated by Pennsylvania CVS Pharmacy LLC

Accepts Medicare assignment

CVS Pharmacy # 00399 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20342279
Medicare Participant SinceJanuary 1, 2023
Supplier Location1776 East Lancaster AvenuePaoli, PA 19301
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
209 W LANCASTER AVE, SUITE 200
PAOLI, PA 19301
Urology
209 W LANCASTER AVE, SUITE 200
PAOLI, PA 19301
Family Medicine (Adult Medicine)
209 W LANCASTER AVE, SUITE #101
PAOLI, PA 19301
Family Medicine
209 W LANCASTER AVE, SUITE 101
PAOLI, PA 19301
Behavior Analyst
209 W LANCASTER AVE
PAOLI, PA 19301
Behavior Analyst
209 W LANCASTER AVE
PAOLI, PA 19301
Urology
209 W LANCASTER AVE, SUITE 200
PAOLI, PA 19301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania Physicians Services, LLC's NPI number?

The NPI number for Pennsylvania Physicians Services, LLC is 1265711824. It was assigned to this organization in the NPPES registry on August 12, 2011.

Where is Pennsylvania Physicians Services, LLC located?

Pennsylvania Physicians Services, LLC is located at 209 W Lancaster Ave, Paoli, PA 19301. The listed phone number is (610) 644-2382.

What is Pennsylvania Physicians Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pennsylvania Physicians Services, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 00399 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Pennsylvania Physicians Services, LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.