Michael Gregory Foss, | |
2101 61st St W, Bradenton, FL 34209-5528 | |
(941) 677-9070 | |
(941) 296-8501 |
Full Name | Michael Gregory Foss |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 2101 61st St W, Bradenton, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285193193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | OS17790 (Florida) | Primary |
Entity Name | Mcr Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
Entity Name | Luminary Dermatology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851955983 PECOS PAC ID: 8628301835 Enrollment ID: O20190603002014 |
Mailing Address | Practice Location Address |
---|---|
Michael Gregory Foss, 4411 Bee Ridge Rd # 309, Sarasota, FL 34233-2514 Ph: (941) 926-6553 | Michael Gregory Foss, 2101 61st St W, Bradenton, FL 34209-5528 Ph: (941) 677-9070 |
Ottavio P Catalano, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1416 59th St W, Bradenton, FL 34209 Phone: 941-792-2934 | |
Dr. Peter L Mattei Iv, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8614 Sr-70, Suite 101, Bradenton, FL 34202 Phone: 941-779-3334 Fax: 941-761-5818 | |
Erfon Ekhlassi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 300 Riverside Dr E Ste 2200, Bradenton, FL 34208 Phone: 941-748-3376 Fax: 941-748-7562 | |
Jennifer L Vesper, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 300 Riverside Dr E, #2200, Bradenton, FL 34208 Phone: 941-748-3376 Fax: 941-748-7562 | |
Taylor Lloyd Dodgen, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11715 Rangeland Pkwy, Bradenton, FL 34211 Phone: 941-538-0022 Fax: 941-538-0023 | |
Jack C Jawitz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2919 26th St W, Bradenton, FL 34205 Phone: 941-755-2255 Fax: 941-755-3349 |