Dr Wieslaw K Prokop, MD | |
15 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1000 | |
(610) 795-7366 | |
(610) 664-4749 |
Full Name | Dr Wieslaw K Prokop |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 15 Presidential Blvd, Bala Cynwyd, Pennsylvania |
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 |
---|---|---|---|
1144212879 | NPI | - | NPPES |
19053230001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD419479 (Pennsylvania) | Primary |
Entity Name | Pain Care Professionals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689666315 PECOS PAC ID: 8325088958 Enrollment ID: O20050503001133 |
Mailing Address | Practice Location Address |
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Dr Wieslaw K Prokop, MD Po Box 237, Wynnewood, PA 19096-0237 Ph: (610) 795-7366 | Dr Wieslaw K Prokop, MD 15 Presidential Blvd, Suite 100, Bala Cynwyd, PA 19004-1000 Ph: (610) 795-7366 |
Jerry Levitt, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 33 E Princeton Rd, Bala Cynwyd, PA 19004 Phone: 610-667-4699 Fax: 610-664-3975 | |
Sanjay Gupta, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 333 E City Line Ave Ste Pl20, Bala Cynwyd, PA 19004 Phone: 610-664-3000 Fax: 610-664-3003 | |
Charlotte Krehbiel Brown, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 37 Chestnut Ave, Bala Cynwyd, PA 19004 Phone: 703-956-0213 | |
Dr. Wilhelmina Cornelia Korevaar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Belmont Ave, Suite 315, Bala Cynwyd, PA 19004 Phone: 610-660-5088 Fax: 610-660-5105 | |
Samuel Robert Grodofsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Bala Ave Ste 418, Bala Cynwyd, PA 19004 Phone: 215-366-2803 Fax: 267-337-7950 |