Terrance Raymond Krysinski, M.D.

Individual provider Active NPI General Practice Physician · Warrendale, PA

NPI 1316147481 · NPPES record last updated Jul 18, 2007

Key facts

NPI
1316147481
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
MD-068030-L (PA)
Practice address
16000 Perry Hwy
Suite Two
Warrendale, PA 15086-7541
Phone
(724) 935-4200
Fax
(724) 935-4226
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
General Surgery
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Institute of Pittsburgh, LLC (3 clinicians)

Practice addresses (Care Compare)

16000 Perry Hwy
Warrendale, PA 15086-7541
Phone (724) 934-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal564

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031112000468 PA Practitioner - General Surgery
Practitioner - General Practice
4688587819 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-068030-LPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Institute of Pittsburgh, LLC General Practice Current
since Jan 1, 2008
Accepting new patients

Locations

6507 Robinson Center Dr
Pittsburgh, PA 15205
Phone (412) 788-1331

16000 Perry Hwy
#2
Warrendale, PA 15086
Phone (724) 935-4200

16000 Perry Hwy
Warrendale, PA 15086
Phone (724) 934-8346

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD-068030-L PA Yes

Addresses

Primary practice location

16000 Perry Hwy
Suite Two
Warrendale, PA 15086-7541

Mailing address

16000 Perry Hwy
Suite Two
Warrendale, PA 15086-7541
Phone (724) 935-4200

Other providers in Warrendale, PA

All providers in Warrendale, PA · General Practice Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.