Leslie A Wagenberg-grella, MD | |
120 Medical Blvd, Suite 106, Spring Hill, FL 34609-0220 | |
(352) 684-1340 | |
(352) 684-0694 |
Full Name | Leslie A Wagenberg-grella |
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Gender | Female |
Speciality | Surgery |
Location | 120 Medical Blvd, Spring Hill, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518240456 | NPI | - | NPPES |
006606100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME 110500 (Florida) | Primary |
Entity Name | Spring Hill Hma Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194053264 PECOS PAC ID: 1153463054 Enrollment ID: O20100114000641 |
Mailing Address | Practice Location Address |
---|---|
Leslie A Wagenberg-grella, MD 120 Medical Blvd, Suite 106, Spring Hill, FL 34609-0220 Ph: (352) 684-1340 | Leslie A Wagenberg-grella, MD 120 Medical Blvd, Suite 106, Spring Hill, FL 34609-0220 Ph: (352) 684-1340 |
Dr. Nitin Babel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10441 Quality Dr, Ste 305, Spring Hill, FL 34609 Phone: 352-397-4505 Fax: 866-576-5313 | |
Dr. Seth Ta'agamanusina Purcell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10441 Quality Dr Ste 205, Spring Hill, FL 34609 Phone: 352-770-8346 Fax: 727-755-0926 | |
Dr. Ronald M Yarrington, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5327 Commercial Way, Park Place D-119, Spring Hill, FL 34606 Phone: 352-596-0184 Fax: 352-596-6559 | |
Dr. Brandt Jones, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13113 Spring Hill Dr, Spring Hill, FL 34609 Phone: 352-540-7527 Fax: 352-398-4166 | |
Dr. Marc Robert Polecritti, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 10429 Spring Hill Dr, Spring Hill, FL 34608 Phone: 352-556-5248 Fax: 352-556-5249 | |
Gabriel Nicolas Chapman, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 12301 Trout Cir, Spring Hill, FL 34609 Phone: 813-570-9249 |