John D Koethe, MD | |
230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 | |
(215) 829-8420 | |
(215) 829-8418 |
Full Name | John D Koethe |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 230 W Washington Sq, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194724773 | NPI | - | NPPES |
0000113314605 | Medicaid | PA | |
0000407311 | Other | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 033220E (Pennsylvania) | Primary |
Entity Name | Pennsylvania Nephrology Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023106945 PECOS PAC ID: 2769457647 Enrollment ID: O20040902000171 |
Mailing Address | Practice Location Address |
---|---|
John D Koethe, MD 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 Ph: (215) 829-8420 | John D Koethe, MD 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 Ph: (215) 829-8420 |
Philippe Olivier Szapary, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949 | |
Dr. Jamie L. Garfield, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867 | |
Maria Esther Escorcia De Leon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943 | |
Cherag Daruwala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123 | |
Dr. Robert Burke, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208 | |
Eva Hassan Alsheik, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071 | |
Dr. Jason Thomas Ackrivo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871 |