| Complete Care Group Inc | |
|
3303 Manatee Ave W Bradenton FL 34205-2550 | |
| (941) 748-8069 | |
| (941) 748-6609 |
| Full Name | Complete Care Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3303 Manatee Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Ian Michael Kahane (PRESIDENT) |
| Authorized Official Contact | 6318891442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Group Inc 3303 Manatee Ave W Bradenton FL 34205-2550 Ph: (941) 748-8069 | Complete Care Group Inc 3303 Manatee Ave W Bradenton FL 34205-2550 Ph: (941) 748-8069 |
| NPI Number | 1770041550 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 2668704875 |
|---|---|
| Medicare Enrollment ID | O20191021002310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770041550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Audrey Ann Lewerenz-walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508846866 PECOS PAC ID: 9335037241 Enrollment ID: I20110928000061 |
| Provider Name | Dipti R Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548578560 PECOS PAC ID: 3678897576 Enrollment ID: I20150126000556 |
| Provider Name | Ian M. Kahane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861846263 PECOS PAC ID: 8426390634 Enrollment ID: I20190508000795 |
| Provider Name | Thomas Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942664685 PECOS PAC ID: 9436458890 Enrollment ID: I20190918000731 |
| Provider Name | Krystle Gish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669096335 PECOS PAC ID: 6002261260 Enrollment ID: I20231009003076 |
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