Dr Michael Scott Portillo, MD | |
300 Pinellas St, Clearwater, FL 33756-3804 | |
(727) 462-7000 | |
Not Available |
Full Name | Dr Michael Scott Portillo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 300 Pinellas St, Clearwater, 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 |
---|---|---|---|
1326207093 | NPI | - | NPPES |
P00788707 | Other | FL | RR MEDICARE |
001026200 | Medicaid | FL | |
1454D | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME93865 (Florida) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | MD00049340 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Morton Plant Hospital | Clearwater, FL | Hospital |
Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
Mease Dunedin Hospital | Dunedin, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Morton Plant Health Services Inc | 2163336777 | 66 |
St Josephs Diagnostic Center Llc | 3779484928 | 81 |
Radiology Associates Of Clearwater | 5496732067 | 49 |
Entity Name | Morton Plant Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528049962 PECOS PAC ID: 2163336777 Enrollment ID: O20040115000883 |
Entity Name | St Josephs Diagnostic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558342998 PECOS PAC ID: 3779484928 Enrollment ID: O20040120000332 |
Entity Name | Radiology Associates Of Clearwater |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982694899 PECOS PAC ID: 5496732067 Enrollment ID: O20040701000663 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Scott Portillo, MD Po Box 917368, Orlando, FL 32891-0001 Ph: (727) 441-3711 | Dr Michael Scott Portillo, MD 300 Pinellas St, Clearwater, FL 33756-3804 Ph: (727) 462-7000 |
Dr. Gerald L Friedman, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1882 Mccauley Rd, Clearwater, FL 33765 Phone: 727-799-0183 Fax: 727-799-0183 | |
Dr. Gordon D. Goodman, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756 Phone: 727-441-3711 | |
Dr. Marsha E. Cline, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756 Phone: 727-441-3711 | |
Dr. Robert J. Entel, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756 Phone: 727-441-3711 | |
Jayne M. Bernier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-441-3711 Fax: 864-987-1611 | |
Dr. Alex J. Weiss, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756 Phone: 727-441-3711 | |
Dr. Upen J. Patel, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1106 Druid Rd S, Suite 302, Clearwater, FL 33756 Phone: 727-441-3711 |