Constantine D Mavroudis, MD in Philadelphia, PA - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Constantine D Mavroudis, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, 4 Maloney, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-6157.

Constantine D Mavroudis is licensed to practice in Pennsylvania (license number MD453196) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316208218.

Contact Information

	Constantine D Mavroudis, MD
	3400 Spruce St, 4 Maloney, Philadelphia, PA 19104-4206
	(215) 662-6157
	Not Available

Map and Direction

Physician's Profile

Full Name	Constantine D Mavroudis
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316208218
Provider Enumeration Date: 06/06/2012
Last Update Date: 07/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3971725656
Enrollment ID: I20210807000035

Medical Identifiers

Medical identifiers for Constantine D Mavroudis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316208218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD453196 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Constantine D Mavroudis allows following entities to bill medicare on his behalf.

Entity Name	Children's Surgical Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Constantine D Mavroudis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Constantine D Mavroudis, MD 3400 Spruce St, 4 Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-6157	Constantine D Mavroudis, MD 3400 Spruce St, 4 Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-6157

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Philadelphia, PA

Kewal Krishan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484
Andrew S Wechsler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 230 N Broad St, 744 N Tower, Philadelphia, PA 19102 Phone: 215-762-7802 Fax: 215-762-1858
Dr. Robert K Wenger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 230 W Washington Sq, Philadelphia, PA 19106 Phone: 215-829-8713 Fax: 215-829-5350
Eros M Leotta, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Larry Kaiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Dr. Verdi J. Disesa, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946
Jarrod D. Predina, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, West Pavilion 1st Flr, Philadelphia, PA 19104 Phone: 215-615-5864 Fax: 215-349-8432

Constantine D Mavroudis, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA