| Mehan Medical Consulting Llc | |
|
509 Se Riverside Dr Ste 300 Stuart FL 34994-2579 | |
| (954) 558-4549 | |
| Not Available |
| Full Name | Mehan Medical Consulting Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 509 Se Riverside Dr Ste 300, Stuart, Florida |
| Authorized Official Name and Position | Ravi Mehan (OWNER) |
| Authorized Official Contact | 9545584549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehan Medical Consulting Llc 509 Se Riverside Dr Stuart FL 34994-2579 Ph: (954) 558-4549 | Mehan Medical Consulting Llc 509 Se Riverside Dr Ste 300 Stuart FL 34994-2579 Ph: (954) 558-4549 |
| NPI Number | 1114461977 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 8123366440 |
|---|---|
| Medicare Enrollment ID | O20190212002586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114461977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS8797 (Florida) | Primary |
| Provider Name | Ravi Mehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578519534 PECOS PAC ID: 1254437767 Enrollment ID: I20070430000664 |
| Provider Name | Diane Leigh Pugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073590667 PECOS PAC ID: 3476697855 Enrollment ID: I20100223000679 |
| Provider Name | Dominique S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845069 PECOS PAC ID: 6507149994 Enrollment ID: I20170209000379 |
| Provider Name | Anthony Tomasello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906552 PECOS PAC ID: 9133490972 Enrollment ID: I20170811002870 |
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