Dr Teddy Wallace Brown Jr, MD | |
13910 Fivay Road Suite 12, Hudson, FL 34667 | |
(727) 861-0678 | |
(727) 861-0679 |
Full Name | Dr Teddy Wallace Brown Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 41 Years |
Location | 13910 Fivay Road Suite 12, Hudson, 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 |
---|---|---|---|
1588640015 | NPI | - | NPPES |
265323100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | TP896 (Kentucky) | Secondary |
207Y00000X | Otolaryngology | ME85915 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
Oak Hill Hospital | Brooksville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tampa Bay Surgical Group Llp | 8224113527 | 30 |
Entity Name | Tampa Bay Surgical Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831308949 PECOS PAC ID: 8224113527 Enrollment ID: O20080311000521 |
Entity Name | Community Hospital Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902094857 PECOS PAC ID: 2264595941 Enrollment ID: O20090106000661 |
Entity Name | Select Physicians Alliance Pl |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902184781 PECOS PAC ID: 9436323516 Enrollment ID: O20111130000210 |
Mailing Address | Practice Location Address |
---|---|
Dr Teddy Wallace Brown Jr, MD 13910 Fivay Road Suite 12, Hudson, FL 34667 Ph: (727) 861-0678 | Dr Teddy Wallace Brown Jr, MD 13910 Fivay Road Suite 12, Hudson, FL 34667 Ph: (727) 861-0678 |
Mr. Gaither G Davis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 13910 Lakeshore Blvd, Ste 120, Hudson, FL 34667 Phone: 727-862-3588 Fax: 727-862-3588 |