Dr Manivanh Keobounnam, MD | |
4755 Ogletown-stanton Road, Newark, DE 19718 | |
(302) 733-1000 | |
Not Available |
Full Name | Dr Manivanh Keobounnam |
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Gender | Female |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 4755 Ogletown-stanton Road, Newark, Delaware |
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 |
---|---|---|---|
1295897783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MT185941 (Pennsylvania) | Secondary |
207L00000X | Anesthesiology | C1-0009086 (Delaware) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Services Pa | 9537064498 | 149 |
Entity Name | Anesthesia Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053366377 PECOS PAC ID: 9537064498 Enrollment ID: O20031203000744 |
Mailing Address | Practice Location Address |
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Dr Manivanh Keobounnam, MD 2 Reads Way, Suite 201, New Castle, DE 19720-1630 Ph: (302) 709-4510 | Dr Manivanh Keobounnam, MD 4755 Ogletown-stanton Road, Newark, DE 19718 Ph: (302) 733-1000 |
Charles Cooper, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Continental Dr, Suite 412, Newark, DE 19713 Phone: 302-709-4497 Fax: 302-733-0854 | |
Dr. Leonard John Nowcid, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-1000 | |
Brett Stadler, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Continental Dr, Suite 412, Newark, DE 19713 Phone: 302-709-4497 Fax: 302-733-0854 | |
Dr. Shachi C Patel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Centurian Dr Ste 110, Newark, DE 19713 Phone: 302-355-0900 Fax: 302-355-0901 | |
Dr. James Aaron Leonard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown-stanton Rd, Newark, DE 19718 Phone: 302-733-1100 Fax: 302-733-2865 | |
Donald Mathes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Continental Dr, Suite 412, Newark, DE 19713 Phone: 302-709-4497 Fax: 302-733-0854 |