Individual provider Active NPI

Seana Patrice Covello, MD

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1770599839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD067435L Issued in PA
Practice address
621 Pine St
Philadelphia, PA 19106-4108
Phone
(215) 574-9101
Fax
(215) 574-9104
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD067435L PA Primary

Addresses

Primary practice location

621 Pine St
Philadelphia, PA 19106-4108

Mailing address

621 Pine St
Philadelphia, PA 19106-4108
Phone (215) 574-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000496 PA Practitioner - Dermatology 0648174888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryn Mawr Dermatology PCGroup PAC ID 2668493735, 13 clinicians

Practice addresses (Care Compare)

775 E Lancaster Ave
Suite 200
Villanova, PA 19085-1529
Phone (610) 525-7800

Merit-based Incentive Payment System (MIPS)

Final score
83.83 of 100Reported as group
Quality
66.36
Improvement activities
40
Cost
90.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions469
Removal or shaving of skin growth1-10
Skin biopsy280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD067435LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John K. Wildemore, MD, LLC Dermatology CurrentSince Feb 1, 2013 Accepting new patients
Bryn Mawr Dermatology, P.C. Dermatology CurrentSince Dec 1, 2021 Accepting new patients
Pine Street Dermatology, PC Dermatology CurrentSince Mar 20, 2003 Accepting new patients
Advanced Dermatology of Pennsylvania, PC Dermatology PastSince Jul 28, 2015 Accepting new patients
Deirdre Wood MD PC Dermatology PastSince Oct 1, 2013 Accepting new patients
Family Dermatology of Pennsylvania, PC Dermatology Past Accepting new patients
Andrew K Pollack Dermatology Past Accepting new patients
Pennsylvania Dermatology Partners Inc Dermatology PastSince Aug 1, 2022 Accepting new patients

Locations

945 Chesterbrook Blvd
Chesterbrook, PA 19087
Phone (610) 695-8088

534 Second Ave
Ste 101
Collegeville, PA 19426
Phone (610) 525-7800

621 Pine St
Philadelphia, PA 19106
Phone (215) 574-9101

775 E Lancaster Ave
Ste 200
Villanova, PA 19085
Phone (610) 525-7800

744 Lancaster Ave
Ste 230
Wayne, PA 19087
Phone (610) 688-8750

Organizations & group practices 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770599839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064108",
            "telephone_number": "215-574-9101",
            "fax_number": "215-574-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064108",
            "telephone_number": "215-574-9101",
            "fax_number": "215-574-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVELLO",
        "first_name": "SEANA",
        "middle_name": "PATRICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD067435L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.