| Roderick M Relova, DO | |
|
13 Fallon Ave, Seaford, DE 19973-1577 | |
| (302) 629-7177 | |
| (302) 629-7677 |
| Full Name | Roderick M Relova |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 13 Fallon Ave, Seaford, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073532214 | NPI | - | NPPES |
| P00127343 | Other | DE | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | H0064703 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | U1450 (Texas) | Secondary |
| 207L00000X | Anesthesiology | C2-0004565 (Delaware) | Primary |
| Entity Name | Delaware Coastal Anesthesia L L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730127820 PECOS PAC ID: 4981594082 Enrollment ID: O20040319000821 |
| Entity Name | Xenon Health Of Delaware Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053846279 PECOS PAC ID: 7618235318 Enrollment ID: O20180102001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick M Relova, DO 123 Steffens Blvd, Camden Wyoming, DE 19934-9659 Ph: (302) 331-4004 | Roderick M Relova, DO 13 Fallon Ave, Seaford, DE 19973-1577 Ph: (302) 629-7177 |
Frederick Gennaro Panico, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Nanticoke Memorial Hospital,, 801 Middleford Rd, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-629-0863 | |
Dr. Raul A. Porro Vizcarra, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Middleford Road, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-628-6313 | |
Louis John Berges Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Middleford Rd, Nanticoke Hospital, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-628-6359 | |
Mr. Anthony Masone, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Middleford Road, Seaford, DE 19973 Phone: 302-629-6611 Fax: 302-644-1475 |