Rajeev Prasad, MD | |
Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 | |
(215) 427-5446 | |
(215) 427-4616 |
Full Name | Rajeev Prasad |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | Erie Ave At Front St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003853698 | NPI | - | NPPES |
0124966 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 217991 (Massachusetts) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Schc Pediatric Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255363578 PECOS PAC ID: 0648179432 Enrollment ID: O20040226000401 |
Entity Name | Stc Pediatrics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
---|---|
Rajeev Prasad, MD 3601 A St, Credentialing Department, Philadelphia, PA 19134-1043 Ph: (215) 427-5446 | Rajeev Prasad, MD Erie Ave At Front St, Scpa General Surgery, Philadelphia, PA 19134 Ph: (215) 427-5446 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Victor Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
Jovanna Micole Linnen, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 245 N 15th St, Room 7150, Philadelphia, PA 19102 Phone: 215-762-3585 Fax: 215-762-3058 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 |