Dr Stephanie L Fenlon, DO | |
4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | |
(813) 960-4026 | |
(813) 443-8166 |
Full Name | Dr Stephanie L Fenlon |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 4211 Van Dyke Rd Ste 101b, Lutz, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922036136 | NPI | - | NPPES |
261670000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS7315 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie L Fenlon, DO 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 Ph: (813) 960-4026 | Dr Stephanie L Fenlon, DO 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 Ph: (813) 960-4026 |
Marian Giovani Irizarry Febres, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23532 State Road 54, Lutz, FL 33559 Phone: 813-909-1600 Fax: 813-909-1005 | |
Dr. Yun Tae Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-321-6237 Fax: 813-463-1801 | |
Dr. Reshma Manhar Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 19105 N Us Highway 41, Suite 100, Lutz, FL 33549 Phone: 813-269-2700 Fax: 813-269-2701 | |
Dr. Barbara Pacholec, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24622 State Road 54, Lutz, FL 33559 Phone: 813-909-4430 Fax: 813-949-2684 | |
Dr. Lee Baker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558 Phone: 813-321-6237 Fax: 813-463-1801 | |
Dr. Omar Cardenas, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2101 Curry Road Lutz, Lutz, FL 33549 Phone: 813-901-2704 Fax: 813-964-3113 | |
Dr. Jack Ibrahim Haj Obeid, M. D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17929 Hunting Bow Cir Ste 102, Lutz, FL 33558 Phone: 813-751-7855 Fax: 813-475-5283 |