Housam Moursi, DO | |
200 Avenue F Ne, Winter Haven, FL 33881-4131 | |
(863) 293-1121 | |
Not Available |
Full Name | Housam Moursi |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 200 Avenue F Ne, Winter Haven, 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 |
---|---|---|---|
1255308599 | NPI | - | NPPES |
379672800 | Medicaid | FL | |
P00346990 | Other | RR MCR | |
57301 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS0007173 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brandon Regional Hospital | Brandon, FL | Hospital |
Bartow Regional Medical Center | Bartow, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polk Emergency Group Llc | 0547241598 | 21 |
Entity Name | Polk Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558338574 PECOS PAC ID: 0547241598 Enrollment ID: O20050506000658 |
Entity Name | Emergency Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
Entity Name | Jr Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447029632 PECOS PAC ID: 7214380369 Enrollment ID: O20240125001570 |
Mailing Address | Practice Location Address |
---|---|
Housam Moursi, DO Po Box 44008, Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3660 | Housam Moursi, DO 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (863) 293-1121 |
Nathaniel Allen Jr., PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 1st St S, Winter Haven, FL 33880 Phone: 863-299-8485 Fax: 863-293-8450 | |
Dr. Frederick Christopher Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Carlton Carmichael Hamilton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 863-292-4103 | |
Dr. Jerry Winfield Gibbs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven Hospital, Winter Haven, FL 33881 Phone: 863-292-4202 Fax: 863-292-4103 | |
Mr. Fouad Sam Moursi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 866-234-8534 | |
Dr. H. Gerlach James Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Winter Haven Hospital, 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 |