Louis M Destefano, MD | |
1001 Chesterbrook Blvd, Suite 200, Berwyn, PA 19312-3805 | |
(610) 576-7500 | |
(610) 353-2140 |
Full Name | Louis M Destefano |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 1001 Chesterbrook Blvd, Berwyn, 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 |
---|---|---|---|
1366474694 | NPI | - | NPPES |
0116015060001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD039970L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
Penn Medicine Home Health | Bala cynwyd, PA | Home health agency |
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Chester County Hospital | West chester, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Paoli Hospital | Paoli, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Care Associates Of The University Of Pennsylvania Health | 4688588866 | 507 |
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
Mailing Address | Practice Location Address |
---|---|
Louis M Destefano, MD 1001 Chesterbrook Blvd, Suite 200, Berwyn, PA 19312-3805 Ph: (310) 576-7500 | Louis M Destefano, MD 1001 Chesterbrook Blvd, Suite 200, Berwyn, PA 19312-3805 Ph: (610) 576-7500 |
Monalisa Ghose, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1055 Westlakes Dr Ste 3152, Berwyn, PA 19312 Phone: 215-346-6050 | |
Dr. Susan Marie Kennedy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 S Leopard Rd, Berwyn, PA 19312 Phone: 610-651-0355 Fax: 610-651-7666 | |
Tetyana A Zelenska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Eastwood Rd, Berwyn, PA 19312 Phone: 610-296-2760 | |
Matthew Lewullis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Boulevard, Berwyn, PA 19312 Phone: 610-576-7700 Fax: 610-576-7705 | |
Robyn Ayana Salkey Medina, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd, Berwyn, PA 19312 Phone: 610-576-7500 Fax: 610-576-7506 | |
Joseph D Graham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Chesterbrook Blvd, Berwyn, PA 19312 Phone: 610-576-7500 |