Dr Gerald Alan Ross, DO | |
10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 | |
(772) 345-5280 | |
(772) 345-5274 |
Full Name | Dr Gerald Alan Ross |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 10000 Sw Innovation Way, Port Saint Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942295563 | NPI | - | NPPES |
267126300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OS8788 (Florida) | Primary |
Entity Name | Martin Memorial Physicians Corporation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
Entity Name | Ob Hospitalist Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
Mailing Address | Practice Location Address |
---|---|
Dr Gerald Alan Ross, DO 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 Ph: (772) 345-5280 | Dr Gerald Alan Ross, DO 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 Ph: (772) 345-5280 |
James Jetrow Presley, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9576 S Us Highway 1, Port Saint Lucie, FL 34952 Phone: 772-337-4000 Fax: 844-543-0396 | |
Dr. Jay R Trabin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1405 Se Goldtree Dr Ste D, Port Saint Lucie, FL 34952 Phone: 772-800-7001 Fax: 772-877-3539 | |
Dr. Grace Haesung Yoo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-5280 | |
Antonio Soegaard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1405 Se Goldtree Dr Ste D, Port Saint Lucie, FL 34952 Phone: 772-800-7001 Fax: 772-877-3539 |