Lisa M Jardine, MD | |
450 E Central Ave, Winter Haven, FL 33880-3050 | |
(863) 294-0670 | |
(863) 298-3200 |
Full Name | Lisa M Jardine |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 450 E Central Ave, Winter Haven, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881662153 | NPI | - | NPPES |
160044555 | Other | FL | MEDICARE ID/RRM PIN |
255262100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME76581 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winter Haven Hospital | Winter haven, FL | Hospital |
Adventhealth Sebring | Sebring, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Medical Group, Inc. | 6406753623 | 1010 |
Entity Name | Baycare Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Gessler Clinic Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154399533 PECOS PAC ID: 3476545484 Enrollment ID: O20040331000760 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Jardine, MD 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Lisa M Jardine, MD 450 E Central Ave, Winter Haven, FL 33880-3050 Ph: (863) 294-0670 |
Dr. Maria Isabel Martino-villanueva, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-298-3204 Fax: 863-298-3200 | |
Eva J Salamon, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191 Fax: 863-293-3635 | |
Edna Pierre-louis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-294-0670 Fax: 863-298-3200 | |
Dr. Herbert W. Acken, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 116 Bates Ave Sw, Winter Haven, FL 33880 Phone: 863-299-7704 Fax: 863-297-9772 | |
Joseph A Mancini, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 635 1st St N, Winter Haven, FL 33881 Phone: 863-294-0670 Fax: 863-298-3200 | |
James J. Booker Iv, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 427 E Central Ave, Winter Haven, FL 33880 Phone: 863-299-1107 Fax: 863-291-3318 | |
Peter S Verrill, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 440 E Central Ave, Winter Haven, FL 33880 Phone: 863-294-0670 Fax: 863-298-3200 |