Georgi Kovachev
NORTHLAKE NEPHROLOGY, INC


Address: 664 Robert Blvd, Slidell, LA 70458-1648
Phone: 9856460360

Georgi Kovachev (NPI# 1942458823, PAC ID# 6103977558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1942458823
PAC ID by PECOS 6103977558
Professional Enrollment ID I20170124000285
Full Name Georgi Kovachev
Organization Legal Name NORTHLAKE NEPHROLOGY, INC
Address 664 Robert Blvd
Slidell
LA 70458-1648
Phone Number 9856460360
Gender M
Graduation Year 2001
Primary Specialty NEPHROLOGY
Group Practice PAC ID 9931000213
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190040 SLIDELL MEMORIAL HOSPITAL
190204 OCHSNER MEDICAL CENTER - NORTHSHORE, L L C
250117 HIGHLAND COMMUNITY HOSPITAL
190036 OCHSNER MEDICAL CENTER NEW ORLEANS
250019 MEMORIAL HOSPITAL AT GULFPORT

Other Locations

Address Phone Organization
664 Robert Blvd, Slidell, LA 70458-1648 9856460360 NORTHLAKE NEPHROLOGY, INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_047_overall Care Plan 100%

Organization Information

Organization Legal Name NORTHLAKE NEPHROLOGY, INC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Sumitha Ganji Nephrology Northlake Nephrology, Inc 1970 N Hwy 190, Covington, LA 70433-5158
Joyce P Peterson Nurse Practitioner Northlake Nephrology, Inc 1970 N Hwy 190, Covington, LA 70433-5158
Daniel P Tveit Nephrology Northlake Nephrology, Inc 1970 N Hwy 190, Covington, LA 70433-5158
Dionne M Stein Nurse Practitioner Northlake Nephrology, Inc 1970 N Hwy 190, Covington, LA 70433-5158
Jacques L Guillot Internal Medicine Northlake Nephrology, Inc 1970 N Hwy 190, Covington, LA 70433-5158

Office Location

Street Address 664 ROBERT BLVD
City SLIDELL
State LA
Zip 70458-1648

Physicians in the same zip code

Name Specialty Organization Address
Lisa Guzman Nurse Practitioner Ochsner Clinic LLC 2750 Gause Blvd, Slidell, LA 70458
Brandy M Kuhn Nurse Practitioner Ks Family Medical Clinic 550 Brownswitch Rd, Slidell, LA 70458-1104
Marie L Delvalle-mahoney Hospitalist 85 Whisperwood Blvd, Suite 2b, Slidell, LA 70458-1136
Melissa Ann Watson Nurse Practitioner 659 Brownswitch Rd, Slidell, LA 70458-1233
Mindy Elizabeth Mcgee Nurse Practitioner One Direction Healthcare LLC 659 Brownswitch Rd, Slidell, LA 70458-1233
Ryan S Spano Physical Therapy 1290 Front St, Suite 1b, Slidell, LA 70458-2000
Michael A Beninato Physician Assistant Slidell Memorial Hospital 1150 Robert Blvd, Slidell, LA 70458-2005
Jodi T Powell Nurse Practitioner Slidell Memorial Hospital 1150 Robert Blvd, Slidell, LA 70458-2005
Miyoshi Henry Family Medicine Slidell Memorial Hospital 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005
Michael David Casey Family Medicine Slidell Memorial Hospital 1150 Robert Blvd, Slidell, LA 70458-2005
Find all physicians in zip 70458

Competitor

Search similar physicians

City SLIDELL
Zip Code 70458
Specialty NEPHROLOGY
City + Specialty SLIDELL + NEPHROLOGY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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