| Stefan Alexandrov Ianchulev, MD | |
|
25 Hospital Center Blvd, Hilton Head Island, SC 29926-2793 | |
| (843) 681-6122 | |
| Not Available |
| Full Name | Stefan Alexandrov Ianchulev |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 25 Hospital Center Blvd, Hilton Head Island, South Carolina |
| 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 |
|---|---|---|---|
| 1871510446 | NPI | - | NPPES |
| 1871510446 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 235292 (Massachusetts) | Secondary |
| 207L00000X | Anesthesiology | 93710 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | MD-55145 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - Anesthesia Pc | 3678897915 | 397 |
| Cep America - Anesthesia Pc | 3678897915 | 397 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639995830 PECOS PAC ID: 3678897915 Enrollment ID: O20250107002891 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Alexandrov Ianchulev, MD 800 Washington St, Tufts Medical Center, Boston, MA 02111-1552 Ph: (617) 636-6044 | Stefan Alexandrov Ianchulev, MD 25 Hospital Center Blvd, Hilton Head Island, SC 29926-2793 Ph: (843) 681-6122 |
Philip James Zitello, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
Dr. William John Brian, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
Dr. Ronald Paul Mulner, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
Dr. Raju Prasad Krishna, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 Pembroke Dr, Building C, Hilton Head Island, SC 29926 Phone: 843-682-2345 Fax: 843-682-2343 | |
Dr. Bradley Harold Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 25 Hospital Center Blvd, Hilton Head Island, SC 29926 Phone: 843-681-6122 |