| Audrey Carmelita Durrant, MD | |
|
160 E Erie Ave, Philadelphia, PA 19134-1011 | |
| (215) 427-4067 | |
| Not Available |
| Full Name | Audrey Carmelita Durrant |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 160 E Erie Ave, 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 |
|---|---|---|---|
| 1437304722 | NPI | - | NPPES |
| 103854500 | Medicaid | FL | |
| 3249054-02 | Medicaid | TX | |
| V4Z99 | Other | FL | BLUE CROSS BLUE SHIELD |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Carmelita Durrant, MD 611 W Park St, Urbana, IL 61801-2501 Ph: () - | Audrey Carmelita Durrant, MD 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-4067 |
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 | |
James Sun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-854-9799 | |
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 | |
Nestor Esnaola, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-3945 |