| Robert Dequevedo, MD | |
|
801 Ostrum St, Bethlehem, PA 18015-1000 | |
| (610) 954-8040 | |
| Not Available |
| Full Name | Robert Dequevedo |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 33 Years |
| Location | 801 Ostrum St, Bethlehem, 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 |
|---|---|---|---|
| 1336107788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | MD055516L (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | 5516L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Specialists Of Bethlehem Pc | 1355254533 | 248 |
| St Lukes Physician Group Inc | 6709798333 | 1858 |
| Entity Name | Anesthesia Specialists Of Bethlehem Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851349302 PECOS PAC ID: 1355254533 Enrollment ID: O20031112000676 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Dequevedo, MD Po Box 500, Bethlehem, PA 18016-0500 Ph: (610) 954-5810 | Robert Dequevedo, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (610) 954-8040 |
Mr. Eric Tesoriero, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 | |
Marjorie Pierre, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 | |
Dr. Marc David Freeman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 | |
Kris Alan Levengood, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 | |
Deborah Chi Mokuolu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 | |
George J Bowen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-954-5810 Fax: 610-954-5480 | |
Dr. Eric Faden, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 W Broad St Ste 506, Bethlehem, PA 18018 Phone: 610-954-5810 Fax: 610-954-5480 |