| Genesis Eldercare Physician Services Llc | |
|
1240 Pinebrook Rd Venice FL 34285 | |
| (941) 488-6733 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1240 Pinebrook Rd, Venice, Florida |
| Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 1240 Pinebrook Rd Venice FL 34285 Ph: (941) 488-6733 |
| NPI Number | 1063839611 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20140915001204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063839611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon P Gaudino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639288137 PECOS PAC ID: 9537336342 Enrollment ID: I20120119000400 |
| Provider Name | Denise A Quallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528477411 PECOS PAC ID: 8729383633 Enrollment ID: I20160301001155 |
| Provider Name | Falon Blessing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124560 PECOS PAC ID: 8325320500 Enrollment ID: I20170124000495 |
| Provider Name | Jennifer E Tribue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134669112 PECOS PAC ID: 8820373442 Enrollment ID: I20170322002443 |
| Provider Name | Jessica H Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159012 PECOS PAC ID: 6305112442 Enrollment ID: I20171018000274 |
| Provider Name | Diane M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521307 PECOS PAC ID: 7719249234 Enrollment ID: I20190621000769 |
| Provider Name | Natalia Mysh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679938237 PECOS PAC ID: 4183911456 Enrollment ID: I20211012002426 |
| Provider Name | Christina Gerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205399664 PECOS PAC ID: 7214329085 Enrollment ID: I20220128000704 |
| Provider Name | Margarette Morney-kuanyawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376159939 PECOS PAC ID: 8820479926 Enrollment ID: I20220720004066 |
The Venice Walk In Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Tamiami Trl S, Suite 102, Venice, FL 34285 Phone: 941-485-4858 Fax: 941-485-5261 | |
Centerplace Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 Scenic Dr, Venice, FL 34293 Phone: 941-529-0200 Fax: 855-674-1836 | |
First Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Sunset Lake Blvd, Suite 401, Venice, FL 34292 Phone: 941-497-8220 Fax: 941-497-8239 | |
Weight Management Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E Venice Ave, Venice, FL 34292 Phone: 941-483-9761 | |
Dr. Ralph H. Rusco Jr. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Us Highway 41 Byp S, Venice, FL 34285 Phone: 941-488-8862 Fax: 941-485-4066 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 E Venice Ave Ste 106-110, Venice, FL 34292 Phone: 844-665-4827 | |
Jan Kubicki Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19404 Solarzano St, Venice, FL 34293 Phone: 585-734-2260 |