Dr K Kent Chevli, MD | |
3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 | |
(716) 844-5000 | |
(716) 844-5050 |
Full Name | Dr K Kent Chevli |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 3085 Harlem Rd, Cheektowaga, New York |
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 |
---|---|---|---|
1215934781 | NPI | - | NPPES |
000523274005 | Other | NY | BCBS OF WNY |
01482255 | Medicaid | NY | |
195675-4 | Other | NY | WORKERS COMP |
040426000815 | Other | NY | FIDELIS |
1909181 | Other | NY | INDEPENDENT HEALTH |
1000375 | Other | NY | GHI |
00010029501 | Other | NY | UNIVERA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 195675 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaleida Health | Buffalo, NY | Hospital |
Erie County Medical Center | Buffalo, NY | Hospital |
Olean General Hospital | Olean, NY | Hospital |
Kenmore Mercy Hospital | Kenmore, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Physician Pc | 9133434269 | 61 |
Entity Name | Erie County Medical Center Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
Entity Name | Great Lakes Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
Entity Name | Harlem Road Ambulatory Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588328918 PECOS PAC ID: 7810388238 Enrollment ID: O20211220000734 |
Mailing Address | Practice Location Address |
---|---|
Dr K Kent Chevli, MD 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2563 Ph: (716) 844-5600 | Dr K Kent Chevli, MD 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 Ph: (716) 844-5000 |
Gina Nicole Tundo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Karl-dietrich Max Gustav Sievert, Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Dr. John Joseph Bodkin Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Brian F Dinerman, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Kevin J Barlog, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Max John Roehmholdt, MD Urology Medicare: Medicare Enrolled Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 |