Bethel Medical Group | |
6045 Hagen Ranch Rd Ste 4 Lake Worth FL 33467-7251 | |
(561) 433-9331 | |
(561) 433-8411 |
Full Name | Bethel Medical Group |
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Speciality | Internal Medicine |
Location | 6045 Hagen Ranch Rd Ste 4, Lake Worth, Florida |
Authorized Official Name and Position | Naomi Madistin (OWNER) |
Authorized Official Contact | 5614203346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bethel Medical Group 3950 S 57th Ave Greenacres FL 33463-4709 Ph: (561) 433-9331 | Bethel Medical Group 6045 Hagen Ranch Rd Ste 4 Lake Worth FL 33467-7251 Ph: (561) 433-9331 |
NPI Number | 1053027508 |
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Provider Enumeration Date | 01/27/2023 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 8921452947 |
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Medicare Enrollment ID | O20230925003835 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053027508 | NPI | - | NPPES |
Provider Name | Mario Theliard |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1669804720 PECOS PAC ID: 6305078338 Enrollment ID: I20140407000319 |
Provider Name | Jean-pierrot Orelus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265837017 PECOS PAC ID: 9335465608 Enrollment ID: I20150303002384 |
Provider Name | Marie Naomi C Forges Madistin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285387332 PECOS PAC ID: 4981099348 Enrollment ID: I20220322000317 |
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