Kenji Minakata, MD | |
3509 N Broad St, Philadelphia, PA 19140-4105 | |
(215) 707-8484 | |
(215) 707-3946 |
Full Name | Kenji Minakata |
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Gender | Male |
Speciality | Thoracic Surgery |
Experience | 30 Years |
Location | 3509 N Broad St, Philadelphia, 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 |
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1215241062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD440387 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cooper University Hospital | Camden, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cooper Surgical Associates, Pa | 3274430764 | 217 |
Entity Name | Cooper Surgical Associates, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427177195 PECOS PAC ID: 3274430764 Enrollment ID: O20031213000037 |
Mailing Address | Practice Location Address |
---|---|
Kenji Minakata, MD 202 Park Blvd, Apt 317, Cherry Hill, NJ 08002-3473 Ph: (215) 707-8484 | Kenji Minakata, MD 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-8484 |
Kewal Krishan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 | |
Andrew S Wechsler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 230 N Broad St, 744 N Tower, Philadelphia, PA 19102 Phone: 215-762-7802 Fax: 215-762-1858 | |
Dr. Robert K Wenger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 230 W Washington Sq, Philadelphia, PA 19106 Phone: 215-829-8713 Fax: 215-829-5350 | |
Eros M Leotta, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Larry Kaiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Dr. Verdi J. Disesa, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-8484 Fax: 215-707-3946 | |
Jarrod D. Predina, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Blvd, West Pavilion 1st Flr, Philadelphia, PA 19104 Phone: 215-615-5864 Fax: 215-349-8432 |