Brant D Hinchman, DO | |
1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | |
(772) 335-4000 | |
Not Available |
Full Name | Brant D Hinchman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 12 Years |
Location | 1800 Se Tiffany Ave, Port Saint Lucie, 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 |
---|---|---|---|
1154673895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | UO 2988 (Florida) | Secondary |
207P00000X | Emergency Medicine | 0102204592 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Spring Emergency Group Llc | 6406103498 | 40 |
Charleston Area Medical Center Inc | 3375441637 | 674 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Entity Name | Ingleside Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
Entity Name | Lake Spring Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
Entity Name | Kingsford Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
Mailing Address | Practice Location Address |
---|---|
Brant D Hinchman, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 335-4000 | Brant D Hinchman, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 335-4000 |
Dr. Michael Gulenay, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 | |
Dr. John Suydam Groh, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 Fax: 772-398-1925 | |
Kristine N. Stark-leyva, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-3800 | |
Rick Carlson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 |