| Trinity J Bivalacqua, MD PHD | |
|
3400 Civic Center Blvd, West Pavilion 3rd Floor, Philadelphia, PA 19104-5127 | |
| (215) 662-2891 | |
| (215) 662-6734 |
| Full Name | Trinity J Bivalacqua |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 3400 Civic Center Blvd, Philadelphia, 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 |
|---|---|---|---|
| 1265579254 | NPI | - | NPPES |
| 028033000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD475725 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Medicine Home Health | Bala cynwyd, PA | Home health agency |
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Chester County Hospital | West chester, PA | Hospital |
| Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
| University Medical Center Of Princeton At Plainsboro | Plainsboro, NJ | Hospital |
| Lancaster General Hospital | Lancaster, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Penn-medical Group | 6204730955 | 3175 |
| Clinical Health Care Associates Of New Jersey Pc | 0749180198 | 758 |
| Entity Name | University Of Penn - Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity J Bivalacqua, MD PHD 3400 Civic Center Blvd, West Pavilion 3rd Floor, Philadelphia, PA 19104-5127 Ph: (215) 662-2891 | Trinity J Bivalacqua, MD PHD 3400 Civic Center Blvd, West Pavilion 3rd Floor, Philadelphia, PA 19104-5127 Ph: (215) 662-2891 |
Joseph Francis Harryhill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Mob Suite 300, Philadelphia, PA 19104 Phone: 215-662-8699 | |
Laura Alexandra Masterson, CRNP Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 | |
Dr. Jessica Pryor, MD Urology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 800-836-7536 | |
Kathleen Hwang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3701 Market St Fl 8, Philadelphia, PA 19104 Phone: 215-662-8699 Fax: 215-243-2060 | |
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734 | |
Hannah Grace Pfrommer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-2433 | |
Eugene Jon Pietzak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-5042 |