Jonathan Ross Dattilo, MD | |
12416 66th St Ste A, Largo, FL 33773-3430 | |
(727) 547-4700 | |
(727) 394-8661 |
Full Name | Jonathan Ross Dattilo |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 10 Years |
Location | 12416 66th St Ste A, Largo, 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 |
---|---|---|---|
1790101608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | ME144420 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trilogy Home Healthcare | Clearwater, FL | Home health agency |
Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
Morton Plant Hospital | Clearwater, FL | Hospital |
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alexander Medical Group Llc | 0547299836 | 26 |
Entity Name | Alexander Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265453286 PECOS PAC ID: 0547299836 Enrollment ID: O20050808000162 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Ross Dattilo, MD 8000 Sr 64 E, Bradenton, FL 34212 Ph: (941) 792-1404 | Jonathan Ross Dattilo, MD 12416 66th St Ste A, Largo, FL 33773-3430 Ph: (727) 547-4700 |
Dr. John Nicholas Harker, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12955 Seminole Blvd, Largo, FL 33778 Phone: 727-586-4752 | |
Dr. Richard L Crank Jr., D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345 W Bay Dr Ste 301, Largo, FL 33770 Phone: 727-587-7117 | |
Brian D. Burke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8839 Bryan Dairy Rd Ste 110, Largo, FL 33777 Phone: 727-623-9692 Fax: 877-788-0934 | |
Ms. Blakeley Elizabeth Burleson, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12416 66th St Ste A, Largo, FL 33773 Phone: 423-434-6300 Fax: 423-434-6312 | |
Robert Gordon Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8240 118th Ave Ste 350, Largo, FL 33773 Phone: 727-475-1166 Fax: 727-333-7776 | |
Christopher Leibold, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5704 | |
Dr. Scott Vizzi, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12416 66th St Ste A, Largo, FL 33773 Phone: 727-547-4700 Fax: 727-394-8661 |