| Healthcare America Medical Group | |
|
315 75th St W Bradenton FL 34209-3201 | |
| (941) 761-1998 | |
| (877) 501-8537 |
| Full Name | Healthcare America Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 315 75th St W, Bradenton, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT/AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare America Medical Group 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Healthcare America Medical Group 315 75th St W Bradenton FL 34209-3201 Ph: (941) 761-1998 |
| NPI Number | 1376779496 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 10/21/2020 |
| Medicare PECOS PAC ID | 1153476544 |
|---|---|
| Medicare Enrollment ID | O20090909000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376779496 | NPI | - | NPPES |
| CD227A | Other | FL | MEDICARE GROUP # |
| 33271 | Other | FL | BCBS GROUP PROVIDER # |
| Provider Name | Douglas Mark Hershkowitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932279163 PECOS PAC ID: 8729050778 Enrollment ID: I20040811000188 |
| Provider Name | Robert C Gessner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922051671 PECOS PAC ID: 8325050693 Enrollment ID: I20060705000182 |
| Provider Name | Brian T Mckinley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003856659 PECOS PAC ID: 4688768153 Enrollment ID: I20070915000041 |
| Provider Name | Raymond L Raitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368423 PECOS PAC ID: 9739266933 Enrollment ID: I20080414000169 |
| Provider Name | Kenneth H Crager |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902891120 PECOS PAC ID: 9436292463 Enrollment ID: I20100129000642 |
| Provider Name | Francisco H Esparza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528053733 PECOS PAC ID: 8820169659 Enrollment ID: I20100129000694 |
| Provider Name | Marc S. Kallins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366437576 PECOS PAC ID: 2860386851 Enrollment ID: I20100129000739 |
| Provider Name | Osvaldo F Mardones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437144524 PECOS PAC ID: 4385787357 Enrollment ID: I20100130000271 |
| Provider Name | Carlos M Rodriguez-mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245225077 PECOS PAC ID: 9032252010 Enrollment ID: I20100130000379 |
| Provider Name | Michael Bays |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134101090 PECOS PAC ID: 5395753206 Enrollment ID: I20100804000767 |
| Provider Name | Jaime Alberto Alvarez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760445167 PECOS PAC ID: 5597899575 Enrollment ID: I20100812000382 |
| Provider Name | Aimee S Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750605440 PECOS PAC ID: 6608060454 Enrollment ID: I20101105000194 |
| Provider Name | Orlando Maldonado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710916127 PECOS PAC ID: 4880670785 Enrollment ID: I20101115000061 |
| Provider Name | Arun K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760534630 PECOS PAC ID: 9133390446 Enrollment ID: I20110919000168 |
| Provider Name | Melissa K Telfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023326170 PECOS PAC ID: 7719158609 Enrollment ID: I20110926000826 |
| Provider Name | John J Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740561760 PECOS PAC ID: 8820251937 Enrollment ID: I20120529000271 |
| Provider Name | D-ann Weller Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124013362 PECOS PAC ID: 3476522962 Enrollment ID: I20140210001684 |
| Provider Name | Sandra Lynn Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396931846 PECOS PAC ID: 1153549233 Enrollment ID: I20140903000701 |
| Provider Name | Andrew M Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285606442 PECOS PAC ID: 5092759233 Enrollment ID: I20141009001380 |
| Provider Name | Maria F Castilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720222458 PECOS PAC ID: 7810121704 Enrollment ID: I20150805007857 |
| Provider Name | Michael Vanvliet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841372968 PECOS PAC ID: 0547401747 Enrollment ID: I20150831000274 |
| Provider Name | Brittney Ann Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588040414 PECOS PAC ID: 4183933047 Enrollment ID: I20151016001180 |
| Provider Name | Tatiana K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891159752 PECOS PAC ID: 5890085559 Enrollment ID: I20160608001480 |
| Provider Name | Jamii B St. Julien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881898377 PECOS PAC ID: 8123247632 Enrollment ID: I20160705002152 |
| Provider Name | Zhora Oganisyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508126624 PECOS PAC ID: 6406153329 Enrollment ID: I20170829002511 |
| Provider Name | Arash Farahvar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659382679 PECOS PAC ID: 2062684954 Enrollment ID: I20170831000593 |
| Provider Name | Ofelia A Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679984561 PECOS PAC ID: 1951677467 Enrollment ID: I20171030000320 |
| Provider Name | Daniel B Westawski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194883702 PECOS PAC ID: 8628035128 Enrollment ID: I20171201001250 |
| Provider Name | Jason Cundiff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497926323 PECOS PAC ID: 6608930656 Enrollment ID: I20180108000272 |
| Provider Name | Jennifer Jill Amen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871613380 PECOS PAC ID: 1153413489 Enrollment ID: I20180716000159 |
| Provider Name | Christopher L Finley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720414527 PECOS PAC ID: 3678841533 Enrollment ID: I20180817001723 |
| Provider Name | Kathleen Sarah Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255998340 PECOS PAC ID: 8921434291 Enrollment ID: I20200204002856 |
| Provider Name | Kareem Riad Mostafa Eid |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649590118 PECOS PAC ID: 7911276993 Enrollment ID: I20201119000254 |
| Provider Name | Carrie M Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336724061 PECOS PAC ID: 4981011046 Enrollment ID: I20210408000155 |
| Provider Name | Jenna D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386239606 PECOS PAC ID: 0547669954 Enrollment ID: I20210603003153 |
| Provider Name | Jill Marie Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366020505 PECOS PAC ID: 0345641569 Enrollment ID: I20210625000996 |
| Provider Name | Wesley Hendricks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598077703 PECOS PAC ID: 2062654551 Enrollment ID: I20210805002024 |
| Provider Name | Lindsay M Cuff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801261 PECOS PAC ID: 9335530096 Enrollment ID: I20220107000062 |
| Provider Name | Leigh Suzanne Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821664319 PECOS PAC ID: 3072990506 Enrollment ID: I20220521000311 |
| Provider Name | Jessica Arlene Mclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457080400 PECOS PAC ID: 2365824620 Enrollment ID: I20220802004117 |
| Provider Name | Jorge Enrique Leal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902366859 PECOS PAC ID: 9830427608 Enrollment ID: I20220817003943 |
| Provider Name | Frances Eileen Gratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316681919 PECOS PAC ID: 2769866854 Enrollment ID: I20220909000314 |
| Provider Name | Malinda Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831890342 PECOS PAC ID: 6507226784 Enrollment ID: I20230719003289 |
| Provider Name | Ali Michelle Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083302004 PECOS PAC ID: 0446613475 Enrollment ID: I20230824000198 |
| Provider Name | Carla Yolanda Segarra-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154092682 PECOS PAC ID: 4587013636 Enrollment ID: I20231214000968 |
Carlos I Arias Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5309 State Road 64 E, Bradenton, FL 34208 Phone: 941-747-9818 Fax: 941-747-9535 | |
Sarasota Spine & Sport Chiropractic Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5517 21st Ave W Ste F, Bradenton, FL 34209 Phone: 941-321-9002 Fax: 941-926-1166 | |
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