Kevin Travis Gleason, DO | |
3400 Spruce Street, Philadelphia, PA 19104-4206 | |
(215) 662-7119 | |
(215) 662-7200 |
Full Name | Kevin Travis Gleason |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 13 Years |
Location | 3400 Spruce Street, 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 |
---|---|---|---|
1255613758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | OS019921 (Pennsylvania) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 72717 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Decatur Hospital | Decatur, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
---|---|
Kevin Travis Gleason, DO 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 662-7119 | Kevin Travis Gleason, DO 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 662-7119 |
Dr. Sydney E Pulver, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1714 Locust St, Suite 2, Philadelphia, PA 19103 Phone: 215-545-7717 | |
Meredith A Spindler, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Padrecc, #127, Philadelphia, PA 19104 Phone: 215-823-5800 Fax: 215-823-5815 | |
Dr. Ly Thien Ngo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107 Phone: 215-955-1234 Fax: 215-923-6792 | |
Dr. Samantha Megan Wyckoff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 N 49th St, Philadelphia, PA 19139 Phone: 215-471-2600 | |
Robert Eric Simons, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Eileen Zhou, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lehigh Ave, Philadelphia, PA 19125 Phone: 215-707-1200 | |
Madhulatha Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lehigh Ave, Mab Bldg Ste 105, Philadelphia, PA 19125 Phone: 215-707-8496 Fax: 215-707-4086 |