Dr Michael Warren Fountain, DO | |
1210 Waterman Way, Tavares, FL 32778-5229 | |
(352) 343-2364 | |
(352) 253-0022 |
Full Name | Dr Michael Warren Fountain |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 21 Years |
Location | 1210 Waterman Way, Tavares, 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 |
---|---|---|---|
1023260205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | OS10783 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Waterman | Tavares, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Hospital Healthcare Partners, Inc | 7012266836 | 269 |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | Florida Hospital Healthcare Partners, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Warren Fountain, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 | Dr Michael Warren Fountain, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 |
Randolph Gray Hunter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1934 Salk Ave, Tavares, FL 32778 Phone: 352-742-2201 | |
Jason L. Gerboc, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-343-0548 | |
Dr. Allison Beth Boemer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 |