| Luis Rosa, MD | |
|
3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 | |
| (215) 662-3957 | |
| Not Available |
| Full Name | Luis Rosa |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063608958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT191873 (Pennsylvania) | Secondary |
| 208D00000X | General Practice | 18112 (Puerto Rico) | Secondary |
| 208600000X | Surgery | 18112 (Puerto Rico) | Primary |
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
| Entity Name | Irene Benn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Rosa, MD 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-3957 | Luis Rosa, MD 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-3957 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-2208 Fax: 267-425-9552 | |
Victor Kim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
James Sun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-854-9799 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 |