Zissimos Mourelatos, MD | |
800 Spruce St, Philadelphia, PA 19107-6130 | |
(215) 829-3000 | |
(215) 829-7564 |
Full Name | Zissimos Mourelatos |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 33 Years |
Location | 800 Spruce 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 |
---|---|---|---|
1023046513 | NPI | - | NPPES |
0018992530001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD067953L (Pennsylvania) | Secondary |
207ZN0500X | Pathology - Neuropathology | MD067953L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Pennsylvania Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Zissimos Mourelatos, MD 800 Spruce St, Philadelphia, PA 19107-6130 Ph: (215) 829-3000 | Zissimos Mourelatos, MD 800 Spruce St, Philadelphia, PA 19107-6130 Ph: (215) 829-3000 |
Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564 | |
Donghwa Baek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529 | |
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848 | |
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829 | |
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179 |