Dr Ilka Dietlinde Theruvath, MD, PHD | |
3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 | |
(704) 749-5800 | |
Not Available |
Full Name | Dr Ilka Dietlinde Theruvath |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 3735 Glenlake Dr Ste 250, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770700304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 29705 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 2015-00804 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Anesthesiology Associates Pa | 3971566761 | 238 |
Providence Anesthesiology Associates Pa | 3971566761 | 238 |
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Entity Name | Providence Anesthesiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20180402000964 |
Mailing Address | Practice Location Address |
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Dr Ilka Dietlinde Theruvath, MD, PHD Po Box 117661, Atlanta, GA 30368-7661 Ph: (704) 749-5800 | Dr Ilka Dietlinde Theruvath, MD, PHD 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 Ph: (704) 749-5800 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Bernard Velardo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Dr. Richard Ralph Pagano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000 | |
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Kelly Comolli Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3735 Glenlake Dr Ste 250, Charlotte, NC 28208 Phone: 704-749-5800 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 |