Mikhail Mirer, MD | |
5151 N 9th Ave, Pensacola, FL 32504-8721 | |
(850) 416-1900 | |
Not Available |
Full Name | Mikhail Mirer |
---|---|
Gender | Male |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 5151 N 9th Ave, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790781946 | NPI | - | NPPES |
552992 | Other | NY | BLUE CROSS BLUE SHIELD |
010206190NY01 | Other | NY | ANTHEM HEALTH |
P1537630 | Other | NY | OXFORD HEALTH PLANS |
7533054 | Other | NY | AETNA/US HEALTHCARE |
95941 | Other | NY | VYTRA HEALTH PLANS |
01980092 | Medicaid | NY | |
05-00433 | Other | NY | UHC CHILD HEALTH PLUS |
1911994 | Other | NY | UNITEDHEALTHCARE |
2C2066 | Other | NY | HEALTHNET |
040426010759 | Other | NY | FIDELIS |
3099861 | Other | NY | GHI |
59065 | Other | NY | MAGNACARE |
AA50867 | Other | NY | MDNY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | ME116537 (Florida) | Primary |
Entity Name | Neurology Medical Service Group Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518907096 PECOS PAC ID: 7214928035 Enrollment ID: O20040520000956 |
Mailing Address | Practice Location Address |
---|---|
Mikhail Mirer, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Mikhail Mirer, MD 5151 N 9th Ave, Pensacola, FL 32504-8721 Ph: (850) 416-1900 |
Elyse S Schrandt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-1575 | |
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-4970 | |
Lisbeth Vernali, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4785 N 9th Ave, Suite A, Pensacola, FL 32503 Phone: 850-478-7600 | |
Gulnur Com, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1675 Trinity Dr, Pensacola, FL 32504 Phone: 850-416-1110 Fax: 850-416-1192 | |
John Frank Bullard Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2805 Bayou Blvd, Pensacola, FL 32503 Phone: 850-434-6881 Fax: 850-434-8999 | |
Mr. Roger C Clubbs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4951 Grande Dr, Pensacola, FL 32504 Phone: 850-473-0100 Fax: 850-473-0500 | |
Robert K Wilson Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5192 Bayou Blvd, Pensacola, FL 32503 Phone: 850-484-5040 Fax: 850-475-5527 |