| Gennadiy Ivanov, MD | |
|
520 Bustleton Pike, Feasterville Trevose, PA 19053 | |
| (215) 631-3873 | |
| (215) 631-3899 |
| Full Name | Gennadiy Ivanov |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 520 Bustleton Pike, Feasterville Trevose, 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 |
|---|---|---|---|
| 1861720815 | NPI | - | NPPES |
| 464979 | Other | PA | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD454021 (Pennsylvania) | Primary |
| Entity Name | Trinity Health Mid-atlantic Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982361 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613 |
| Entity Name | We Care Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053547182 PECOS PAC ID: 9931401148 Enrollment ID: O20160105002085 |
| Mailing Address | Practice Location Address |
|---|---|
| Gennadiy Ivanov, MD 520 Bustleton Pike, Feasterville Trevose, PA 19053-6052 Ph: (215) 631-3873 | Gennadiy Ivanov, MD 520 Bustleton Pike, Feasterville Trevose, PA 19053 Ph: (215) 631-3873 |
Shruti Sharma, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 178 W Street Rd, Feasterville Trevose, PA 19053 Phone: 215-332-5042 | |
Afua Mintah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 178 W Street Rd, Feasterville Trevose, PA 19053 Phone: 215-322-5042 Fax: 215-322-5043 |