| Dr Jack Elias Kazanjian, DO | |
|
510 Darby Rd, Havertown, PA 19083-4630 | |
| (610) 449-6499 | |
| (610) 449-9814 |
| Full Name | Dr Jack Elias Kazanjian |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 27 Years |
| Location | 510 Darby Rd, Havertown, Pennsylvania |
| 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 |
|---|---|---|---|
| 1407880032 | NPI | - | NPPES |
| 1018681980001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | OS010372L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Riddle Memorial Hospital | Media, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Orthopaedic And Sports Medicine Associates, Ltd | 5890681092 | 205 |
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 410 |
| Entity Name | Premier Orthopaedic And Sports Medicine Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987243 PECOS PAC ID: 5890681092 Enrollment ID: O20040225000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Elias Kazanjian, DO 510 Darby Rd, Havertown, PA 19083-4630 Ph: (610) 449-6499 | Dr Jack Elias Kazanjian, DO 510 Darby Rd, Havertown, PA 19083-4630 Ph: (610) 449-6499 |
Nicholas A Dinubile, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Darby Rd, Havertown, PA 19083 Phone: 610-789-0150 Fax: 610-789-0151 | |
Mr. Paul A Lotke, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 Darby Rd, Havertown, PA 19083 Phone: 610-449-0970 Fax: 610-449-9814 | |
Eugene A Elia, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 W Darby Rd, Havertown, PA 19083 Phone: 610-449-6499 Fax: 610-449-9814 |