| Kenneth Deitch, DO | |
|
101 E Olney Ave, Suite 400, Phila, PA 19120-2421 | |
| (215) 456-7000 | |
| (215) 254-2599 |
| Full Name | Kenneth Deitch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 101 E Olney Ave, Phila, 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 |
|---|---|---|---|
| 1558300855 | NPI | - | NPPES |
| 232664784 | Other | PA | TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS012659 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Emergency Physicians Integrated Care Llc | 4284548116 | 187 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Emergency Physicians Integrated Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Deitch, DO 5501 Old York Rd, Phila, PA 19141-3018 Ph: (215) 456-6679 | Kenneth Deitch, DO 101 E Olney Ave, Suite 400, Phila, PA 19120-2421 Ph: (215) 456-7000 |
Peter Tsao, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5501 Old York Rd, Phila, PA 19141 Phone: 215-456-6679 | |
Steven Parrillo, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Road, Phila, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Nicole Abate, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Phila, PA 19141 Phone: 215-456-6679 | |
Dr. Carrie-ann Begnaud, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3998 Red Lion Rd, Phila, PA 19114 Phone: 215-612-4000 | |
Andrew Kah Wai Chong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Phila, PA 19141 Phone: 215-456-6679 | |
Sonia Jaslow, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Phila, PA 19141 Phone: 215-456-8502 Fax: 215-456-8502 |