| Pradeep K Bhagat, MD | |
|
100 E Lancaster Ave, Wynnewood, PA 19096-3450 | |
| (215) 487-4398 | |
| (215) 487-4349 |
| Full Name | Pradeep K Bhagat |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 43 Years |
| Location | 100 E Lancaster Ave, Wynnewood, 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 |
|---|---|---|---|
| 1639134935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD038582-E (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
| Paoli Hospital | Paoli, PA | Hospital |
| Riddle Memorial Hospital | Media, PA | Hospital |
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Line Pathology Associates, Pc | 9830179381 | 9 |
| Entity Name | Main Line Pathology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260482 PECOS PAC ID: 9830179381 Enrollment ID: O20040723000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Pradeep K Bhagat, MD 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (215) 487-4398 | Pradeep K Bhagat, MD 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (215) 487-4398 |
Shotaro Imaizumi, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Edina Grujic, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Walter M Klein, MD Pathology Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Pathology Dept, Lankenau Hospital, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Joseph P Horstmann, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 | |
Ila M Peterson, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-8013 | |
Richard Hagedorn Ochs, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2613 |