Mr Jerry Martin Alstott, MD | |
8030 Saint James Way, Mount Dora, FL 32757-9134 | |
(407) 908-0064 | |
(352) 383-9319 |
Full Name | Mr Jerry Martin Alstott |
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Gender | Male |
Speciality | Family Medicine - Geriatric Medicine |
Location | 8030 Saint James Way, Mount Dora, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467497271 | NPI | - | NPPES |
046349300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | ME0037307 (Florida) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | ME0037307 (Florida) | Primary |
Entity Name | Omni Family Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063785095 PECOS PAC ID: 0547429094 Enrollment ID: O20120302000239 |
Mailing Address | Practice Location Address |
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Mr Jerry Martin Alstott, MD 8030 Saint James Way, Mount Dora, FL 32757-9134 Ph: (407) 908-0064 | Mr Jerry Martin Alstott, MD 8030 Saint James Way, Mount Dora, FL 32757-9134 Ph: (407) 908-0064 |
Dr. Sam S Luk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17580 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-0608 | |
Sylvia Boloczko, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16860 Us Highway 441, Mount Dora, FL 32757 Phone: 352-432-8443 Fax: 844-388-6186 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3619 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-383-8222 | |
Dr. Ghulam Mustafa Anwar, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kimberly T Jackson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St, #200, Mount Dora, FL 32757 Phone: 352-735-8231 | |
Dr. Scott Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 North, Fl-19, Mount Dora, FL 32757 Phone: 239-245-1698 |