Dr Mirko Roethlisberger, MD | |
1050 Old Camp Rd, The Villages, FL 32162-1762 | |
(352) 674-1760 | |
(352) 674-8960 |
Full Name | Dr Mirko Roethlisberger |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1050 Old Camp Rd, The Villages, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205885480 | NPI | - | NPPES |
010222082 | Other | BLUE CROSS BLUE SHIELD | |
109768BJ | Other | PREFERED CARE | |
02445563 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 222082 (New York) | Secondary |
207R00000X | Internal Medicine | ME118494 (Florida) | Primary |
Entity Name | The Villages Health System Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699012922 PECOS PAC ID: 2163667288 Enrollment ID: O20130320000580 |
Mailing Address | Practice Location Address |
---|---|
Dr Mirko Roethlisberger, MD 1020 Lake Sumter Lndg, The Villages, FL 32162-2699 Ph: (352) 674-8905 | Dr Mirko Roethlisberger, MD 1050 Old Camp Rd, The Villages, FL 32162-1762 Ph: (352) 674-1760 |
Dr. Raymond J Mis, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Highway 441 Ste 810, The Villages, FL 32159 Phone: 352-674-8700 | |
Dr. Lydia Enid Sanchez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 | |
Elffy Munoz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 N Us Highway 441 Ste 930, The Villages, FL 32159 Phone: 855-907-4289 | |
Dr. Imad V El-jassous, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Highway 441 Ste 924, The Villages, FL 32159 Phone: 352-633-8319 Fax: 352-633-8434 | |
Dr. Greg J Jun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Brownwood Blvd, The Villages, FL 32163 Phone: 352-674-1790 Fax: 352-674-8990 | |
Dr. Brent Carl Compton, MD, DC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11974 County Road 101 Ste 101, The Villages, FL 32162 Phone: 352-391-9467 Fax: 352-391-9468 | |
Adewale A. Fawole, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2955 Brownwood Blvd, The Villages, FL 32163 Phone: 352-765-7100 Fax: 352-430-0210 |