| Dr K Kent Chevli, MD | |
|
3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 | |
| (716) 844-5000 | |
| (716) 844-5050 |
| Full Name | Dr K Kent Chevli |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 3085 Harlem Rd, Cheektowaga, New York |
| 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 |
|---|---|---|---|
| 1215934781 | NPI | - | NPPES |
| 000523274005 | Other | NY | BCBS OF WNY |
| 01482255 | Medicaid | NY | |
| 195675-4 | Other | NY | WORKERS COMP |
| 040426000815 | Other | NY | FIDELIS |
| 1909181 | Other | NY | INDEPENDENT HEALTH |
| 1000375 | Other | NY | GHI |
| 00010029501 | Other | NY | UNIVERA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 195675 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Kaleida Health | Buffalo, NY | Hospital |
| Erie County Medical Center | Buffalo, NY | Hospital |
| Sisters Of Charity Hospital | Buffalo, NY | Hospital |
| Mount St. Mary's Hospital & Health Center | Lewiston, NY | Hospital |
| Mercy Hospital Of Buffalo | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Lakes Physician Pc | 9133434269 | 67 |
| Entity Name | Erie County Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233616 PECOS PAC ID: 1456308907 Enrollment ID: O20050715000538 |
| Entity Name | Great Lakes Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659310092 PECOS PAC ID: 9133434269 Enrollment ID: O20150818004788 |
| Entity Name | Harlem Road Ambulatory Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1588328918 PECOS PAC ID: 7810388238 Enrollment ID: O20211220000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr K Kent Chevli, MD 3085 Harlem Rd, Suite 200, Cheektowaga, NY 14225-2563 Ph: (716) 844-5600 | Dr K Kent Chevli, MD 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225-2563 Ph: (716) 844-5000 |
Gina Nicole Tundo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Karl-dietrich Max Gustav Sievert, Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Dr. John Joseph Bodkin Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Brian F Dinerman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 | |
Kevin J Barlog, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3085 Harlem Rd, Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5050 | |
Max John Roehmholdt, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225 Phone: 716-844-5000 Fax: 716-844-5750 |