Alejandro Jose Luis, MD | |
1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 | |
(850) 864-4033 | |
Not Available |
Full Name | Alejandro Jose Luis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 1703 Lewis Turner Blvd, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700087251 | NPI | - | NPPES |
1530217 | Medicaid | TN | |
290820 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL 29082 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
Mobile Infirmary Medical Center | Mobile, AL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Trauma Services Llc | 3971985938 | 91 |
University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 665 |
Imc-diagnostic And Medical Clinic Llc | 2860399623 | 135 |
Entity Name | Northwest Florida Multispecialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790912269 PECOS PAC ID: 5597801779 Enrollment ID: O20090930000747 |
Entity Name | Australian Lungfish Surgical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285031583 PECOS PAC ID: 4183940877 Enrollment ID: O20150223001218 |
Entity Name | Florida Trauma Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578 |
Mailing Address | Practice Location Address |
---|---|
Alejandro Jose Luis, MD Po Box 3413, Indianapolis, IN 46206-3413 Ph: (850) 864-4033 | Alejandro Jose Luis, MD 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 Ph: (850) 864-4033 |
John Christofer Dali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8269 Fax: 850-862-7965 | |
Emilio Claudio Calabrese, MD Surgery Medicare: Medicare Enrolled Practice Location: 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-460-0052 Fax: 844-341-2523 | |
Mr. William Harrison Hunt, MD Surgery Medicare: Medicare Enrolled Practice Location: 1032 Mar Walt Dr Unit 220, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611 | |
Dr. Robert Lane Rogers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8255 Fax: 850-862-7965 | |
Dr. Michael Lee Miller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11 Racetrack Rd Ne, Suite E4, Fort Walton Beach, FL 32547 Phone: 850-200-4574 | |
Dr. Patrick Thomas Mcgraw, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-864-4033 Fax: 850-864-4076 | |
Jessica Wise, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547 Phone: 850-374-9610 Fax: 850-374-9611 |