| Antonio Pedro, MD | |
|
1124 South Central Ave, Laurel, DE 19956 | |
| (302) 875-7753 | |
| (302) 875-7966 |
| Full Name | Antonio Pedro |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 36 Years |
| Location | 1124 South Central Ave, Laurel, Delaware |
| 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 |
|---|---|---|---|
| 1922192434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | C1-0004999 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dsi Seaford | Seaford, DE | Dialysis facility |
| Dsi Laurel Dialysis, Llc | Laurel, DE | Dialysis facility |
| Fresenius Medical Care Milford | Milford, DE | Dialysis facility |
| Nanticoke Memorial Hospital | Seaford, DE | Hospital |
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Beebe Medical Center | Lewes, DE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laurel Medical Group, Llc | 1153386081 | 2 |
| Entity Name | Laurel Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477640696 PECOS PAC ID: 1153386081 Enrollment ID: O20041119000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Pedro, MD 66 River's End Drive, Seaford, DE 19973 Ph: (302) 628-3018 | Antonio Pedro, MD 1124 South Central Ave, Laurel, DE 19956 Ph: (302) 875-7753 |
Odilon Claravall, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1124 South Central Ave, Laurel, DE 19956 Phone: 302-875-7753 Fax: 302-875-7966 |