Tetsuo Ashizawa, MD | |
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
(352) 273-5550 | |
(352) 273-5575 |
Full Name | Tetsuo Ashizawa |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1600 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093873754 | NPI | - | NPPES |
117744604 | Medicaid | TX | |
1093873754 | Other | NATIONAL PROVIDER IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | E6717 (Texas) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME105032 (Florida) | Primary |
Entity Name | Tmh Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
Mailing Address | Practice Location Address |
---|---|
Tetsuo Ashizawa, MD Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 273-5550 | Tetsuo Ashizawa, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-5550 |
Richa Vijayvargiya, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-4357 Fax: 352-627-4150 | |
Dr. Gerald Richardson Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7360 Nw 47th Way, Gainesville, FL 32653 Phone: 407-821-5979 | |
Dr. Edgard Olbany Andrade, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-6442 | |
Dr. Thiago Santos Carneiro, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-5550 Fax: 352-273-5575 | |
Dr. Leston B Nay, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608 Phone: 352-375-5553 Fax: 352-672-6201 | |
Leonardo Rodriguez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-376-1611 Fax: 352-271-4574 | |
Dr. Newton Agrawal, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |