Robert Pendrak, MD | |
6500 Crill Ave, Palatka, FL 32177-9230 | |
(386) 326-0575 | |
(386) 326-0571 |
Full Name | Robert Pendrak |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6500 Crill Ave, Palatka, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477519361 | NPI | - | NPPES |
NVEXF | Other | FL | BCBS |
P00221334 | Other | NM | RAILROAD MEDICARE |
00NM009V36 | Other | NM | BCBS |
26351232 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD2005-0209 (New Mexico) | Secondary |
207Q00000X | Family Medicine | ME85025 (Florida) | Primary |
Entity Name | Hyperbaric Health Services - Palatka Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518518042 PECOS PAC ID: 0941634620 Enrollment ID: O20200106001979 |
Mailing Address | Practice Location Address |
---|---|
Robert Pendrak, MD 6500 Crill Ave, Palatka, FL 32177-9230 Ph: (386) 326-0575 | Robert Pendrak, MD 6500 Crill Ave, Palatka, FL 32177-9230 Ph: (386) 326-0575 |
Michael Arthur Borelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2801 Kennedy St, Putnam County Health Department, Palatka, FL 32177 Phone: 386-326-3200 Fax: 386-326-3350 | |
Moses Muzquiz Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Bobby R Lafferty, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-312-0775 | |
Dr. James T. Drew, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Mary Jane Garris, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 E Peniel Rd, Palatka, FL 32177 Phone: 386-937-9611 Fax: 386-385-3915 | |
Dave Anthony Williams, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-325-1086 | |
Jose N Dizon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1302 River St, Palatka, FL 32177 Phone: 386-328-8371 Fax: 386-328-1519 |