Benjamin Deratzou, MD | |
700 Lawn Ave, Sellersville, PA 18960-1548 | |
(215) 453-4550 | |
Not Available |
Full Name | Benjamin Deratzou |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 700 Lawn Ave, Sellersville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457357741 | NPI | - | NPPES |
113861400 | Other | PA | DEPARTMENT OF LABOR |
7581234 | Other | PA | CIGNA |
0555124000 | Other | PA | INDEPENDENCE BLUE CROSS |
1488614 | Medicaid | PA | |
22-1994560 | Other | PA | HEALTH AMERICA/HEALTH AMERICA |
4402138 | Other | PA | AETNA |
22-1994560 | Other | PA | FIRST MCO |
22-1994560 | Other | PA | DEVON |
718211 | Other | PA | HIGHMARK BLUE SHIELD |
P00661480 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD-045886-L (Pennsylvania) | Primary |
Entity Name | Society Hill Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427003219 PECOS PAC ID: 5991617292 Enrollment ID: O20031119000358 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Deratzou, MD 700 Lawn Ave, Sellersville, PA 18960-1548 Ph: (215) 453-4550 | Benjamin Deratzou, MD 700 Lawn Ave, Sellersville, PA 18960-1548 Ph: (215) 453-4550 |
Dr. James Light, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 | |
George J Bowen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 | |
John Hayward, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 | |
Daniel A Lewis, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 | |
Thomas J Scozzafava, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 | |
Mitchell J Barrer, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 700 Lawn Ave, Sellersville, PA 18960 Phone: 215-453-4550 |