Kenneth L Izzo, MD is a
Physical Medicine & Rehabilitation - Pain Medicine physician based in Flourtown, Pennsylvania. Kenneth L Izzo is licensed to practice in Pennsylvania (license number MD017101) and his current practice location is 1811 Bethlehem Pike, Suite 221, Flourtown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 233-1223.
NPI number for Kenneth L Izzo is 1285725010 and his current mailing address is 1811 Bethlehem Pike, Suite 221, Flourtown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285725010.
Physician's Profile
| Full Name | Kenneth L Izzo |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 1811 Bethlehem Pike, Flourtown, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285725010
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kenneth L Izzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285725010 | NPI | - | NPPES |
| IZ112248 | Other | PA | BCBS PERSONAL CHOICE |
| 01927385 | Medicaid | PA | |
| 0060080000 | Other | | BCBS KEYSTONE EAST |
| 3503051 | Other | PA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD017101 (Pennsylvania) | Primary |
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. Kenneth L Izzo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth L Izzo, MD
1811 Bethlehem Pike, Suite 221,
Flourtown, PA 19031
Ph: (215) 233-1223 | Kenneth L Izzo, MD
1811 Bethlehem Pike, Suite 221,
Flourtown, PA 19031
Ph: (215) 233-1223 |
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