Dr Andrew Sean Mallon, DO | |
1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | |
(727) 216-0700 | |
(727) 216-0704 |
Full Name | Dr Andrew Sean Mallon |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 15 Years |
Location | 1330 S Fort Harrison Ave, Clearwater, 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 |
---|---|---|---|
1255569570 | NPI | - | NPPES |
010925000 | Medicaid | FL | |
OS12619 | Other | FL | STATE OF FLORIDA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | OS12619 (Florida) | Primary |
207Y00000X | Otolaryngology | OT013216 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Morton Plant Hospital | Clearwater, FL | Hospital |
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Ear, Nose And Throat, Inc | 0941260103 | 19 |
Entity Name | West Coast Ear, Nose & Throat, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346229440 PECOS PAC ID: 0941260103 Enrollment ID: O20041013000380 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Sean Mallon, DO 2515 Countryside Blvd, Suite E, Clearwater, FL 33763-1603 Ph: (727) 216-0700 | Dr Andrew Sean Mallon, DO 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 Ph: (727) 216-0700 |
Matthew Clavenna, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 Fax: 727-216-0704 | |
Dr. Dipan Desai, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 | |
Jonathan M Morgan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S. Ft. Harrison Ave, Clearwater, FL 33756 Phone: 727-441-3588 Fax: 727-461-1038 | |
Dr. Adrian Chow, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3131 N Mcmullen Booth Rd, Clearwater, FL 33761 Phone: 727-341-0551 Fax: 727-341-0332 | |
Dr. Scott Michael Greene, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-441-3588 Fax: 727-461-1038 | |
Dr. Faisal Merchant, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 Fax: 727-216-0704 |