| Ted Vellos, MD | |
|
13545 Circle Dr, Orland Park, IL 60462-1345 | |
| (708) 655-4907 | |
| Not Available |
| Full Name | Ted Vellos |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 13545 Circle Dr, Orland Park, Illinois |
| 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 |
|---|---|---|---|
| 1497173447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01081683A (Indiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Network Inc | 3678737012 | 355 |
| Uro Surgery Associates Llc | 8628975562 | 14 |
| The Methodist Hospitals Inc | 9638063894 | 105 |
| Entity Name | Uro Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648566 PECOS PAC ID: 8628975562 Enrollment ID: O20031217000998 |
| Entity Name | The Methodist Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Vellos, MD 13545 Circle Dr, Orland Park, IL 60462-1345 Ph: (708) 655-4907 | Ted Vellos, MD 13545 Circle Dr, Orland Park, IL 60462-1345 Ph: (708) 655-4907 |
Mr. Prithvi Murthy, Urology Medicare: Accepting Medicare Assignments Practice Location: 15234 S Harlem Ave, Orland Park, IL 60462 Phone: 708-888-8287 Fax: 708-614-0607 | |
Dr. Michael Herzog, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 15234 S Harlem Ave, Orland Park, IL 60462 Phone: 708-888-8287 Fax: 708-614-0607 | |
Dr. David Raminski, D.O. Urology Medicare: Medicare Enrolled Practice Location: 16632 S 107th Ct, Orland Park, IL 60467 Phone: 708-349-6350 Fax: 708-349-9153 |