Tea Poloska, | |
8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068 | |
(941) 499-2700 | |
Not Available |
Full Name | Tea Poloska |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 8130 Lakewood Main St Ste 103, Lakewood Ranch, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730717406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS20200 (Florida) | Secondary |
208M00000X | Hospitalist | OS20200 (Florida) | Primary |
Entity Name | Accountable Inpatient Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659936870 PECOS PAC ID: 5597090274 Enrollment ID: O20190717003010 |
Mailing Address | Practice Location Address |
---|---|
Tea Poloska, 201 14th St Sw, Largo, FL 33770-3199 Ph: () - | Tea Poloska, 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068 Ph: (941) 499-2700 |
Manoj Mathew, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202 Phone: 941-782-2100 | |
Matthew Ira Lockhart, APRN Hospitalist Medicare: Medicare Enrolled Practice Location: 8130 Lakewood Main St Ste 3, Lakewood Ranch, FL 34202 Phone: 941-499-2700 | |
Gregory Mandile, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202 Phone: 941-499-2700 Fax: 941-487-0474 |