Larry E Krevolin, DO | |
235 N Broad St, Suite 200 Clinical Nephrology Assoc, Philadelphia, PA 19107-1511 | |
(215) 762-7785 | |
(215) 568-6007 |
Full Name | Larry E Krevolin |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 48 Years |
Location | 235 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 |
---|---|---|---|
1265532923 | NPI | - | NPPES |
000792539 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 05003817L (Pennsylvania) | Primary |
207RN0300X | Internal Medicine - Nephrology | 25MB03667100 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
The Kidney Center Of South Philadelphia, Llc | Philadelphia, PA | Dialysis facility |
Fmc Silver Dialysis | Cherry hill, NJ | Dialysis facility |
Davita - Franklin Dialysis At Home | Philadelphia, PA | Dialysis facility |
Thomas Jefferson University Hospital | Philadelphia, PA | Hospital |
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Renal Associates Llc | 6901881366 | 31 |
Entity Name | Clinical Nephrology Associates, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457447799 PECOS PAC ID: 6800879859 Enrollment ID: O20040610000669 |
Entity Name | Clinical Renal Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689620254 PECOS PAC ID: 6901881366 Enrollment ID: O20040621000636 |
Mailing Address | Practice Location Address |
---|---|
Larry E Krevolin, DO 235 N Broad St, Suite 200, Philadelphia, PA 19107-1511 Ph: (215) 762-7785 | Larry E Krevolin, DO 235 N Broad St, Suite 200 Clinical Nephrology Assoc, Philadelphia, PA 19107-1511 Ph: (215) 762-7785 |
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 |