Jon Potter Kimball, MD | |
1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 | |
(727) 953-8090 | |
(727) 953-8088 |
Full Name | Jon Potter Kimball |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 22 Years |
Location | 1988 Gulf To Bay Blvd, Clearwater, 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 |
---|---|---|---|
1205917374 | NPI | - | NPPES |
17EIV | Other | FL | BCBS |
177VX | Other | NC | BCBSNC PROVIDER ID NUMBER |
856543 | Other | FL | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2013-00103 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | ME96185 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comprehensive Spine Institute, Llc | 1456536192 | 14 |
Entity Name | Comprehensive Spine Institute, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215247747 PECOS PAC ID: 1456536192 Enrollment ID: O20110425000212 |
Mailing Address | Practice Location Address |
---|---|
Jon Potter Kimball, MD 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 Ph: (727) 953-8090 | Jon Potter Kimball, MD 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 Ph: (727) 953-8090 |
George Wendell M. Feliciano, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Morton Plant St Ste 301, Clearwater, FL 33756 Phone: 727-461-6026 Fax: 727-461-1492 | |
David P Thompson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 Morton Plant St, Ste 301, Clearwater, FL 33756 Phone: 727-461-6026 Fax: 727-461-7446 | |
Robert Donnelly, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1660 Gulf To Bay Blvd, Clearwater, FL 33755 Phone: 727-446-5633 Fax: 727-447-6312 | |
Richard Victor Abdo, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1011 Jeffords St, Suite C, Clearwater, FL 33756 Phone: 727-446-5993 Fax: 727-446-4477 | |
Dr. Paul J Zak, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4625 East Bay Drive, Suite 222, Clearwater, FL 33764 Phone: 727-548-4880 Fax: 727-548-4881 | |
Anthony L Marcotte, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1011 Jeffords St, Suite C, Clearwater, FL 33756 Phone: 727-446-5993 Fax: 727-446-4477 |