Basic Information
| Provider Information | |||||||||
| NPI: | 1639107592 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATEJAN | ||||||||
| FirstName: | BETSY | ||||||||
| MiddleName: | |||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 609 W GERMANTOWN PIKE | ||||||||
| Address2: | STE 220 | ||||||||
| City: | EAST NORRITON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194034261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4846227940 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1427 VINE ST | ||||||||
| Address2: | 7TH FL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191021031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157627824 | ||||||||
| FaxNumber: | 2152465257 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 11/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | MW008584L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 23-2080863 | 01 | PA | PRUDENTIAL | OTHER | 2543297 | 01 | PA | AETNA PROFESSIONAL | OTHER | 7272228 | 01 | PA | USHC PROFESSIONAL | OTHER | 929580 | 01 | PA | KEYSTONE PROFESSIONAL | OTHER | 929580 | 01 | PA | PERSONAL CHOICE PROF | OTHER | P003418 | 01 | PA | CHAMPUS | OTHER | 868291000 | 01 | PA | BLUECROSS - HMO | OTHER | 929580 | 01 | PA | BLUE CROSS PPO | OTHER | 291259 | 01 | PA | MAMSI | OTHER | 01835541-01 | 01 | PA | AMERICHOICE - MA | OTHER | 1835541 | 05 | PA | MEDICAID | 8463441 | 01 | PA | CIGNA | OTHER | 929580 | 01 | PA | BLUE SHIELD PROFESSIONAL | OTHER |