Dr Christopher Lee Slack, MD | |
4632 S 25th St, Fort Pierce, FL 34981-5057 | |
(772) 464-9595 | |
(772) 464-9582 |
Full Name | Dr Christopher Lee Slack |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 31 Years |
Location | 4632 S 25th St, Fort Pierce, 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 |
---|---|---|---|
1982613717 | NPI | - | NPPES |
264157700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0123X | Otolaryngology - Facial Plastic Surgery | ME84369 (Florida) | Primary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 36380 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent And Allergy Associates Of Florida, Llc | 0042292849 | 193 |
Entity Name | Ent And Allergy Associates Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
Entity Name | Associated Coastal Ear Nose & Throat Physicians Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134299753 PECOS PAC ID: 5395701445 Enrollment ID: O20041209000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher Lee Slack, MD 4632 S 25th St, Fort Pierce, FL 34981-5057 Ph: (772) 464-9595 | Dr Christopher Lee Slack, MD 4632 S 25th St, Fort Pierce, FL 34981-5057 Ph: (772) 464-9595 |
Dr. Richard B Allen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4632 S 25th St, Fort Pierce, FL 34981 Phone: 772-464-9595 Fax: 772-464-9582 | |
Dr. James L Autin, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1302 N Lawnwood Cir, Fort Pierce, FL 34950 Phone: 772-337-3700 Fax: 619-415-8099 | |
Dr. Michele L Richards, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4632 S 25th St, Fort Pierce, FL 34981 Phone: 772-464-9595 Fax: 772-464-9582 | |
David Zaboli, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 | |
Ibrahim Bohsali, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2215 Nebraska Ave, Ste 1-d, Fort Pierce, FL 34950 Phone: 772-464-8707 |