Dr Gregory T Fossum, MD | |
8900 N Kendall Dr, Miami, FL 33176-2118 | |
(786) 596-1960 | |
Not Available |
Full Name | Dr Gregory T Fossum |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
Location | 8900 N Kendall Dr, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982623658 | NPI | - | NPPES |
ME121321 | Other | FL | FLORIDA STATE MEDICAL LICENSE |
001272293 | Medicaid | PA | |
7608209 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | MD046162L (Pennsylvania) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | Ob Hospitalist Group Llc |
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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 Gregory T Fossum, MD 400 Randy Ln, Fort Myers Beach, FL 33931-4014 Ph: (215) 429-8358 | Dr Gregory T Fossum, MD 8900 N Kendall Dr, Miami, FL 33176-2118 Ph: (786) 596-1960 |
Dr. Anna Priscila Dominguez Espaillat, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Dr. Adolphia Aline Lauture, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 70 Ne 167th St, Miami, FL 33162 Phone: 053-705-4575 | |
Marie-carmelle C Liburd, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1190 Nw 95th St, Suite 105, Miami, FL 33150 Phone: 305-696-9400 | |
Dr. Todra L Anderson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Box 016960 (m851), Miami, FL 33136 Phone: 305-243-4029 | |
Rebeca Caridad Martinez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3659 S Miami Ave, Suite 4006, Miami, FL 33133 Phone: 305-534-8005 Fax: 305-532-7826 | |
Dr. Carla S Lupi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33101 Phone: 305-243-4029 Fax: 305-243-8470 | |
Dr. Salih Y Yasin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33101 Phone: 305-243-4029 Fax: 305-243-8470 |