| Oleg Volchonok, Md, Pc | |
|
11400 Bustleton Ave Philadelphia PA 19116-2815 | |
| (215) 969-8446 | |
| (215) 969-4451 |
| Full Name | Oleg Volchonok, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11400 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Oleg Volchonok (PRESIDENT) |
| Authorized Official Contact | 2159698446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oleg Volchonok, Md, Pc 11400 Bustleton Ave Philadelphia PA 19116-2815 Ph: (215) 969-8446 | Oleg Volchonok, Md, Pc 11400 Bustleton Ave Philadelphia PA 19116-2815 Ph: (215) 969-8446 |
| NPI Number | 1790951390 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 04/05/2010 |
| Medicare PECOS PAC ID | 4880735125 |
|---|---|
| Medicare Enrollment ID | O20100108000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951390 | NPI | - | NPPES |
| 0015313860007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD055985L (Pennsylvania) | Primary |
| Provider Name | Oleg Volchonok |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275571945 PECOS PAC ID: 7618018953 Enrollment ID: I20100108000005 |
| Provider Name | Andriy Pavlenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932347440 PECOS PAC ID: 9537212527 Enrollment ID: I20130212000017 |
| Provider Name | Dmitry Ulend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344718 PECOS PAC ID: 1557621729 Enrollment ID: I20220816002768 |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |