MEDICARE: DR. CHARLES NEAL LEBOVITZ M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD009553E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	020048162	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	90947	OTHER	PA	THREE RIVERS HEALTH PLAN
3	128409	OTHER	PA	BLUE SHIELD
4	14131	OTHER	PA	UPMC HEALTH PLAN
5	001837436	OTHER	PA	HIGHMARK
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2429465	OTHER	PA	AETNA
9	1019028	OTHER	PA	GATEWAY HEALTH PLAN

General Provider Information

NPI Number	:	1568468205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES NEAL LEBOVITZ M. D.

Provider Business Mailing Address
First Line	:	3424 WILLIAM PENN HWY
Second Line	:	STE 222
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5444
Country	:	US
Telephone Number	:	412-824-4660
Fax Number	:	412-824-4665

Provider Business Practice Location Address
First Line	:	3424 WILLIAM PENN HWY
Second Line	:	STE 222
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5444
Country	:	US
Telephone Number	:	412-824-4660
Fax Number	:	412-824-4665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	03/08/2010

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Directions to “ DR. CHARLES NEAL LEBOVITZ M. D.” Practice Location

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