Chandler Villaverde, MD | |
3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238 | |
(215) 662-4000 | |
Not Available |
Full Name | Chandler Villaverde |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 8 Years |
Location | 3400 Spruce St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407202955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT210572 (Pennsylvania) | Primary |
208000000X | Pediatrics | MT210572 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Alaska Native Medical Center | Anchorage, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alaska Native Tribal Health Consortium | 6709780265 | 449 |
Entity Name | Alaska Native Tribal Health Consortium |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Mailing Address | Practice Location Address |
---|---|
Chandler Villaverde, MD 3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238 Ph: () - | Chandler Villaverde, MD 3400 Spruce St, 100 Centrex, Philadelphia, PA 19104-4238 Ph: (215) 662-4000 |
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