Terence P Connelly, MD | |
3340 Tamiami Trl, Port Charlotte, FL 33952-8088 | |
(941) 764-5858 | |
(941) 764-1657 |
Full Name | Terence P Connelly |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 38 Years |
Location | 3340 Tamiami Trl, Port Charlotte, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982617072 | NPI | - | NPPES |
374413200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | ME63964 (Florida) | Primary |
174400000X | Specialist | ME0063964 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
Bayfront Health Punta Gorda | Punta gorda, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Physician Group Llc | 9830244433 | 789 |
Entity Name | Charlotte Heart And Vascular Institute Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558441550 PECOS PAC ID: 3577549427 Enrollment ID: O20040629001472 |
Entity Name | Advanced Imaging Of Port Charlotte Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659365021 PECOS PAC ID: 8123084134 Enrollment ID: O20041201000998 |
Entity Name | Millennium Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
---|---|
Terence P Connelly, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Terence P Connelly, MD 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 Ph: (941) 764-5858 |
Jaideep Hingorani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl, #101a, Port Charlotte, FL 33952 Phone: 941-629-4676 Fax: 941-629-1522 | |
Anna Berenstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 941-391-5496 Fax: 941-875-9875 | |
Dr. Chitradeep De, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Caring Way Unit 4, Port Charlotte, FL 33952 Phone: 941-212-2748 Fax: 941-328-8946 | |
Dr. Louis Damian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3300 Tamiami Trl Ste 101a, Port Charlotte, FL 33952 Phone: 941-629-4676 | |
Velamakanni Krishnamurty, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd, Suite 110, Port Charlotte, FL 33980 Phone: 941-629-7092 Fax: 941-629-1111 | |
Dr. Tanweer A Memon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2091 Tamiami Trl, Port Charlotte, FL 33948 Phone: 941-625-9494 Fax: 941-743-8562 | |
Ebrahim Papan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl, Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 |