Dr Todd Fitzgerald Tanner, MD | |
3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | |
(877) 866-7123 | |
Not Available |
Full Name | Dr Todd Fitzgerald Tanner |
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Gender | Male |
Speciality | Family Medicine |
Location | 3601 Sw 160th Ave, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578640231 | NPI | - | NPPES |
891153P | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 16430 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 9800713 (North Carolina) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Mailing Address | Practice Location Address |
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Dr Todd Fitzgerald Tanner, MD 517 Doctors Ct, Chester, SC 29706-8644 Ph: (803) 581-2800 | Dr Todd Fitzgerald Tanner, MD 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 Ph: (877) 866-7123 |
Dr. Toan Huu Le, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Teresa M Elliott, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Aletha Cress Oglesby, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Avenue, Suite 250, Miramar, FL 33024 Phone: 877-866-7123 | |
Andrea C. Dory, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933 | |
Dr. Liron Beltzer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027 Phone: 954-399-4642 Fax: 877-859-8768 | |
Gokhan Guvenli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12600 Pembroke Rd Ste 100, Miramar, FL 33027 Phone: 954-432-5400 Fax: 877-671-4101 | |
Eleanor Grant Price, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10910 Pembroke Rd, Miramar, FL 33025 Phone: 954-276-5552 Fax: 954-443-4737 |