Marten Basta, MD | |
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
(888) 663-3488 | |
Not Available |
Full Name | Marten Basta |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 12902 Usf Magnolia Dr, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194103648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | LP03411 (Rhode Island) | Secondary |
208200000X | Plastic Surgery | ME157378 (Florida) | Primary |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Mailing Address | Practice Location Address |
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Marten Basta, MD Po Box 198441, Atlanta, GA 30384-8441 Ph: () - | Marten Basta, MD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (888) 663-3488 |
Daniel Diaco, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 North Habana Avenue, Suite 400, Tampa, FL 33614 Phone: 813-876-3611 Fax: 813-387-1745 | |
Dr. Naji Kamal Baddoura, M. D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14434 Bruce B Downs Blvd, Tampa, FL 33613 Phone: 813-971-1010 Fax: 813-632-8670 | |
Dr. Moriah R Moffitt, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 508 S Habana Ave, Suite 180, Tampa, FL 33609 Phone: 813-414-0908 Fax: 813-414-9354 | |
Shay Cannon, PA Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-821-8724 | |
Dr. Pedro Miguel Soler Jr., MD Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 4144 N. Armenia Ave, Suite 250, Tampa, FL 33607 Phone: 813-878-9889 Fax: 813-872-9560 | |
Dr. Lewis Herman Berger, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2901 W Saint Isabel St, Suite 2c, Tampa, FL 33607 Phone: 813-877-7658 Fax: 813-872-8305 | |
Meegan Minori Gruber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6319 Memorial Hwy, Tampa, FL 33615 Phone: 813-886-9090 |