Peter N Kolettis, MD | |
619 19th Street South, Birmingham, AL 35233 | |
(205) 934-4011 | |
Not Available |
Full Name | Peter N Kolettis |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 619 19th Street South, Birmingham, Alabama |
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 |
---|---|---|---|
1336177450 | NPI | - | NPPES |
05953821 | Other | MS | MISSISSIPPI MEDICAID |
G78806 | Other | AL | VIVA |
000075778 | Other | AL | BLUE CROSS |
000075778 | Medicaid | AL | |
340015713 | Other | AL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 21684 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Alabama Hospital | Birmingham, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Alabama Health Services Foundation, Pc | 1951213107 | 2328 |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Peter N Kolettis, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Peter N Kolettis, MD 619 19th Street South, Birmingham, AL 35233 Ph: (205) 934-4011 |
Joseph Crivelli, Urology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
Henry Collier Hudson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2022 Brookwood Medical Ctr Dr, Suite 510, Birmingham, AL 35209 Phone: 205-250-6061 Fax: 205-250-8957 | |
Charles Peyton, Urology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Jeffrey W Nix, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2000 6th Ave S, Birmingham, AL 35233 Phone: 205-945-0254 | |
Lewis K Lloyd, MD Urology Medicare: Medicare Enrolled Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-4011 | |
Dr. Thomas Chi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2000 6th Ave S, Birmingham, AL 35233 Phone: 415-476-4380 | |
Joseph Edward Davis Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 2000 6th Ave S, Birmingham, AL 35233 Phone: 205-801-8000 |