Miguel Angel Telleria, MD, MBA | |
8501 Sw 124th Ave Ste 110, Miami, FL 33183-4631 | |
(786) 808-8555 | |
(786) 360-1100 |
Full Name | Miguel Angel Telleria |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 8501 Sw 124th Ave Ste 110, Miami, 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 |
---|---|---|---|
1467614636 | NPI | - | NPPES |
015575800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME121707 (Florida) | Primary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | ME121707 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Matmed Llc | 5193052249 | 10 |
Entity Name | Matmed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447783220 PECOS PAC ID: 5193052249 Enrollment ID: O20190812002754 |
Mailing Address | Practice Location Address |
---|---|
Miguel Angel Telleria, MD, MBA 9066 Sw 73rd Ct Ph 2404, Pinecrest, FL 33156-2972 Ph: (786) 808-8555 | Miguel Angel Telleria, MD, MBA 8501 Sw 124th Ave Ste 110, Miami, FL 33183-4631 Ph: (786) 808-8555 |
Dr. Pertti Kalevi Hakala, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Central 300, Miami, FL 33136 Phone: 305-585-6970 | |
Parvine Sadeghi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62 Avenue, Miami, FL 33155 Phone: 305-663-8409 Fax: 305-663-8573 | |
Dr. Chandrashish Chakravarty, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 Nw 10th Ave, Apt 2009, Miami, FL 33136 Phone: 305-879-2292 | |
Meredith Miller Degnan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6973 | |
Alexander Freytag, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1400 Nw 12th Ave, Miami, FL 33136 Phone: 305-325-5416 Fax: 305-548-0530 | |
Seth J Connor, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9100 Sw 87th Ave, Miami, FL 33176 Phone: 305-271-9100 Fax: 305-270-8527 | |
Mr. Michael Johan Schou, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Nw 95 St, 2nd Floor Advance Pain Management Of Florida Inc, Miami, FL 33150 Phone: 305-694-3775 Fax: 305-694-3678 |