Gretchen Siefker Bakos, DO | |
1700 S Tamiami Trl, Sarasota, FL 34239-3509 | |
(941) 917-7080 | |
(941) 917-7085 |
Full Name | Gretchen Siefker Bakos |
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Gender | Female |
Speciality | Pediatrics |
Location | 1700 S Tamiami Trl, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285015255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS17254 (Florida) | Primary |
Entity Name | Hurley Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
Mailing Address | Practice Location Address |
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Gretchen Siefker Bakos, DO Po Box 947407, Atlanta, GA 30394-7407 Ph: (941) 917-2600 | Gretchen Siefker Bakos, DO 1700 S Tamiami Trl, Sarasota, FL 34239-3509 Ph: (941) 917-7080 |
Mayuri Jindal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-7490 Fax: 941-917-1308 | |
Grace Victoria Hunte, M.D., M.P.H. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-7490 | |
Carola Hoigne Fleener, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3920 Bee Ridge Rd Bldg A Ste C, Sarasota Childrens Clinic Pa, Sarasota, FL 34233 Phone: 941-923-3667 Fax: 941-924-3246 | |
Ivan Aleksandr Shatkin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-7490 | |
Dr. Lisa Maria Gonzalez-abello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Ringling Blvd, Sarasota, FL 34237 Phone: 941-861-2710 Fax: 941-861-2708 | |
Megan Anne Watkins, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 Phone: 941-955-5191 | |
Jessica Capote, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6995 Professional Parkway East, Unit C, Sarasota, FL 34240 Phone: 941-355-9374 Fax: 941-355-9379 |