9922 ROOSEVELT BLVD.
PHILADELPHIA, PA 19115-1704 US PECOS Enrolled
Mikhail Losif Azrilevich
Internal Medicine Physician
- PHILADELPHIA, PA
- Phone: (215)-676-2741
- Last Updated 10/29/2018
Overview
Mikhail Losif Azrilevich is a Internal Medicine Physician in the PHILADELPHIA area and has over 45 years of experience. Mikhail Losif Azrilevich primary office location is at 9922 ROOSEVELT BLVD. and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1979
Mikhail Losif Azrilevich is affiliated with eight hospitals in the PHILADELPHIA area, including . The NPI number is 1598749178 and the information was updated approximately 6 years ago.
Mikhail Losif Azrilevich is affiliated with one medical group in the PHILADELPHIA area, TEMPLE PHYSICIANS INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD062068L | PA |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 001663133 | PA |
| RAILROAD MEDICARE | 110150740 | PA |
| HEALTH NET | 2Y3072 | PA |
| BRAVO HEALTH | 2871 | PA |
| KEYSTONE MERCY HEALTH PLA | 30033849 | PA |
| AETNA PPO | 5615579 | PA |
| HIGHMARK BLUE SHIELD | 117016 | PA |
| AMERICHOICE | 0166313302 | PA |
| AETNA HMO | 0866629 | PA |
| COVENTRY HEALTH AMERICA | 546193 | PA |
| OXFORD | P945996 | PA |
| INDEPENDENCE BLUE CROSS | 0131367000 | PA |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | PA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050426001035 |
| PECOS Individual PAC ID: | 2466491824 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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