Dr Walter Eric Loch, MD | |
701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | |
(941) 748-2455 | |
(941) 750-9704 |
Full Name | Dr Walter Eric Loch |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 701 Manatee Ave W, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407815582 | NPI | - | NPPES |
1962739334 | Other | FL | FL MEDICARE |
52026 | Other | FL | BCBS FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | ME102204 (Florida) | Primary |
Entity Name | Ear, Nose, And Throat Associates Of Manatee, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730230764 PECOS PAC ID: 6406820026 Enrollment ID: O20040820000370 |
Entity Name | Charles C Greene Md Phd Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457600769 PECOS PAC ID: 2668627134 Enrollment ID: O20130307000132 |
Mailing Address | Practice Location Address |
---|---|
Dr Walter Eric Loch, MD 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 Ph: (941) 748-2455 | Dr Walter Eric Loch, MD 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 Ph: (941) 748-2455 |
Samantha Elizabeth Frank, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 701 Manatee Ave W Ste 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Bruce P Dorman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 311 Manatee Ave E, Bradenton, FL 34208 Phone: 941-714-0276 Fax: 941-714-0294 | |
Benjamin Michael Kelley, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W Ste 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
John C Shelton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Brian K Hoban, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Christine M Cicco-brown, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11715 Rangeland Pkwy, Bradenton, FL 34211 Phone: 941-538-0018 Fax: 941-538-0019 |