Anthony Jerome Porter, MD | |
1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605 | |
(321) 308-0659 | |
(321) 309-2881 |
Full Name | Anthony Jerome Porter |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 26 Years |
Location | 1515 W Nasa Blvd, Melbourne, 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 |
---|---|---|---|
1013957133 | NPI | - | NPPES |
7650363 | Other | FL | AETNA |
1358244 | Other | FL | AETNA |
55044 | Other | FL | BLUE CROSS BLUE SHIELD |
276029100 | Medicaid | FL | |
246877 | Other | FL | WELLCARE |
P00415676 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01058940A (Indiana) | Secondary |
207N00000X | Dermatology | ME96233 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter Premier Dermatology And Surgery Center, Pllc | 0749562452 | 2 |
Entity Name | Porter Premier Dermatology And Surgery Center, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104152495 PECOS PAC ID: 0749562452 Enrollment ID: O20170112002059 |
Mailing Address | Practice Location Address |
---|---|
Anthony Jerome Porter, MD 1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605 Ph: (321) 308-0659 | Anthony Jerome Porter, MD 1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605 Ph: (321) 308-0659 |
Dr. Peter Mangone Zies, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 17 East Silver Palm Avenue, Melbourne, FL 32901 Phone: 321-725-9041 Fax: 321-722-9248 | |
Mrs. Shalini Thareja, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 675 S Babcock St, Melbourne, FL 32901 Phone: 321-951-1010 Fax: 321-952-4038 | |
Dr. Stephen H Hornell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 333 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-724-9650 Fax: 321-724-2643 | |
Ms. Megan Marie Cronin, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1399 S. Harbor City Blvd, Melbourne, FL 32901 Phone: 321-726-1711 Fax: 321-726-1715 | |
Dr. Adam Howard Wiener, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 333 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-724-9650 | |
Larry S Bishop, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7125 Murrell Rd, Melbourne, FL 32940 Phone: 321-242-8790 Fax: 321-751-9362 |