Dr Kenneth Gordon Lavelle, MD in Philadelphia, PA

Dr Kenneth Gordon Lavelle, MD is a medicare enrolled "Emergency Medicine" physician in Philadelphia, Pennsylvania. His current practice location is 111 S 11th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-6000.

Dr Kenneth Gordon Lavelle is licensed to practice in Pennsylvania (license number MD429880) 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 1154534006.

Contact Information

	Dr Kenneth Gordon Lavelle, MD
	111 S 11th St, Philadelphia, PA 19107-4824
	(215) 955-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Gordon Lavelle
Gender	Male
Speciality	Emergency Medicine
Location	111 S 11th 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: 1154534006
Provider Enumeration Date: 05/08/2007
Last Update Date: 06/06/2013

Medicare PECOS Information:

PECOS PAC ID: 8921190471
Enrollment ID: I20070828000966

Medical Identifiers

Medical identifiers for Dr Kenneth Gordon Lavelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154534006	NPI	-	NPPES
101976767	Medicaid	PA
0138789	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD429880 (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. Dr Kenneth Gordon Lavelle allows following entities to bill medicare on his behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Jefferson Acute Care Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730571324 PECOS PAC ID: 7810215613 Enrollment ID: O20150407001063

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. Dr Kenneth Gordon Lavelle 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
Dr Kenneth Gordon Lavelle, MD 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 955-6000	Dr Kenneth Gordon Lavelle, MD 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 955-6000

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890

Dr Kenneth Gordon Lavelle, MD - Medicare Emergency Medicine in Philadelphia, PA