Jesse E Phillips, MD | |
1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7553 | |
(772) 398-9911 | |
(772) 398-4374 |
Full Name | Jesse E Phillips |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 34 Years |
Location | 1801 Se Hillmoor Dr, Port St Lucie, 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 |
---|---|---|---|
1457351983 | NPI | - | NPPES |
00000209641 | Other | IN | ANTHEM BCBS |
100462620A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01040385A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent And Allergy Associates Of Florida, Llc | 0042292849 | 193 |
Entity Name | Ent And Allergy Associates Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
Entity Name | Associated Coastal Ear Nose & Throat Physicians Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134299753 PECOS PAC ID: 5395701445 Enrollment ID: O20041209000640 |
Mailing Address | Practice Location Address |
---|---|
Jesse E Phillips, MD 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7545 Ph: (772) 398-9911 | Jesse E Phillips, MD 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952-7553 Ph: (772) 398-9911 |
Dr. Leslie Robert Berghash, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Dr. Daniel J Zaluzec, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste C-110, Port St Lucie, FL 34952 Phone: 772-337-0072 Fax: 888-615-7171 | |
Kenneth Weiss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952 Phone: 772-337-3700 | |
William Bernard Bass, ARNP Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 | |
Dr. John T Lanza, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr, Suite B105, Port St Lucie, FL 34952 Phone: 772-398-9911 Fax: 772-398-4374 |