Dr Jack A Pines, MD | |
2500 E Hallandale Beach Blvd, Suite Ph-2, Hallandale Beach, FL 33009-4834 | |
(954) 456-6500 | |
(954) 456-6503 |
Full Name | Dr Jack A Pines |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 42 Years |
Location | 2500 E Hallandale Beach Blvd, Hallandale Beach, 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 |
---|---|---|---|
1285699447 | NPI | - | NPPES |
QMP000003703988 | Other | FL | MOLINA |
18645 | Other | FL | WELLCARE |
4072125 | Other | FL | AETNA PROVIDER # |
77215 | Other | FL | MEDICARE GROUP |
P0003143 | Other | FL | FLORIDA HEALTHCARE PLUS |
P00470777 | Other | FL | RR MEDICARE |
03807 | Other | FL | BCBS FL |
11499 | Other | FL | MEDICA |
2730308 00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | ME 48050 (Florida) | Secondary |
208800000X | Urology | ME48050 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Regional Hospital | Hollywood, FL | Hospital |
Memorial Hospital West | Pembroke pines, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack A Pines, MD 2234 Colonial Blvd, Managed Care Dept, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Dr Jack A Pines, MD 2500 E Hallandale Beach Blvd, Suite Ph-2, Hallandale Beach, FL 33009-4834 Ph: (954) 456-6500 |
Dr. Philip Laurence Miller, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 12th Ave, Apt. 308, Hallandale Beach, FL 33009 Phone: 954-456-5267 |