Dr Kenneth J Bregg, MD | |
1921 Waldemere St Ste 310, Sarasota, FL 34239 | |
(941) 917-5400 | |
(941) 917-5420 |
Full Name | Dr Kenneth J Bregg |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1921 Waldemere St Ste 310, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588656904 | NPI | - | NPPES |
2780250 | Other | FL | BCBS FL PROVIDER # |
373532000 | Medicaid | FL | |
P00449108 | Other | FL | RAILROAD MEDICARE |
1192944 | Other | FL | WELLCARE |
202233 | Other | FL | AMERIGROUP PROVIDER # |
17793 | Other | FL | BCBS |
340017280 | Other | FL | MEDICARE RR |
4345646 | Other | FL | AETNA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME62142 (Florida) | Primary |
Entity Name | Smh Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth J Bregg, MD Po Box 863407, Orlando, FL 32886-3407 Ph: (941) 917-2600 | Dr Kenneth J Bregg, MD 1921 Waldemere St Ste 310, Sarasota, FL 34239 Ph: (941) 917-5400 |
Matthew J Perry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1 S School Ave, Sarasota, FL 34237 Phone: 941-309-7000 Fax: 941-308-8508 | |
Dr. William James Tingle, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 South School Ave, Suite 200, Sarasota, FL 34237 Phone: 941-309-7000 Fax: 941-309-7007 | |
Robert John Dobrzynski, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1900 Brother Geenen Way, Sarasota, FL 34236 Phone: 941-556-3220 Fax: 941-955-8214 | |
Dr. Winston Edward Barzell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3325 S Tamiami Trl Ste 200, Sarasota, FL 34239 Phone: 941-917-8488 Fax: 941-917-8475 | |
Francis J Wren, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1921 Waldemere St Ste 310, Sarasota, FL 34239 Phone: 941-917-5400 Fax: 941-917-5420 | |
Daniel M Kaplon, Urology Medicare: Accepting Medicare Assignments Practice Location: 1921 Waldemere St Ste 310, Sarasota, FL 34239 Phone: 941-917-5400 Fax: 941-917-5420 | |
Dr. Eileen A Toolin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1900 Brother Geenen Way, Sarasota, FL 34236 Phone: 941-556-3220 Fax: 941-955-8214 |