Dr Leslie Robert Berghash, MD | |
1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 | |
(772) 398-9911 | |
(772) 398-4374 |
Full Name | Dr Leslie Robert Berghash |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 43 Years |
Location | 1801 Se Hillmoor Dr, Port St Lucie, 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 |
---|---|---|---|
1255420485 | NPI | - | NPPES |
255062800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0123X | Otolaryngology - Facial Plastic Surgery | ME0052176 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Raulerson Hospital | Okeechobee, 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 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslie Robert Berghash, MD 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 | Dr Leslie Robert Berghash, MD 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 |
Dr. Daniel J Zaluzec, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-110, Port St Lucie, FL 34952 Phone: 772-337-0072 Fax: 888-615-7171 | |
Jesse E Phillips, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Kenneth Weiss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952 Phone: 772-337-3700 | |
William Bernard Bass, ARNP Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Dr. John T Lanza, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 |