Gary Marc Mcclernan, DPM | |
14741 Waterway Dr, Hudson, FL 34667 | |
(727) 432-1919 | |
Not Available |
Full Name | Gary Marc Mcclernan |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 14741 Waterway Dr, Hudson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154393445 | NPI | - | NPPES |
DS9118 | Other | FL | GROUP RR |
FS503A | Other | FL | GROUP MCARE PTAN |
019585300 | Medicaid | FL | |
DS9118 | Other | AL | RR MCARE IND PTAN |
65368Z | Other | FL | INDIVIDUAL MCARE PTAN |
PO2389 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO2389 (Florida) | Primary |
Provider Name | Gary M Mcclernan Dpm Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346511839 PECOS PAC ID: 5698935278 Enrollment ID: O20120320000508 |
Mailing Address | Practice Location Address |
---|---|
Gary Marc Mcclernan, DPM 14741 Waterway Dr, Hudson, FL 34667-3258 Ph: (727) 432-1919 | Gary Marc Mcclernan, DPM 14741 Waterway Dr, Hudson, FL 34667 Ph: (727) 432-1919 |
Bayonet Point Foot Health Center Podiatrist Medicare: Medicare Enrolled Practice Location: 7117 State Road 52, Hudson, FL 34667 Phone: 727-868-2128 Fax: 727-868-7491 | |
Dr. Thomas D Stelnicki, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7509 St Rt 52, Hudson, FL 34667 Phone: 727-869-9559 Fax: 727-869-9331 | |
Gary M Mcclernan Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 14741 Waterway Dr, Hudson, FL 34667 Phone: 727-432-1919 Fax: 727-260-4170 | |
Nimesh M Patel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 13944 Lakeshore Blvd, Suite C, Hudson, FL 34667 Phone: 727-869-1782 Fax: 727-869-4720 | |
Dr. Alexander John Pappas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 281-597-1630 | |
Thomas D Stelnicki Dpm Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 7509 State Road 52 Ste 130, Hudson, FL 34667 Phone: 727-869-9559 Fax: 727-869-9331 |