Rocky Eibert Md Pa | |
6730 Congress Street New Port Richey FL 34653-2842 | |
(727) 846-1155 | |
(727) 846-1247 |
Full Name | Rocky Eibert Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 6730 Congress Street, New Port Richey, Florida |
Authorized Official Name and Position | Rocky Eibert (PRESIDENT / PHYSICIAN) |
Authorized Official Contact | 7278461155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rocky Eibert Md Pa 6730 Congress St New Port Richey FL 34653-2842 Ph: (727) 846-1155 | Rocky Eibert Md Pa 6730 Congress Street New Port Richey FL 34653-2842 Ph: (727) 846-1155 |
NPI Number | 1154671758 |
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Provider Enumeration Date | 09/12/2012 |
Last Update Date | 09/12/2012 |
Medicare PECOS PAC ID | 3870746654 |
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Medicare Enrollment ID | O20130102000423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154671758 | NPI | - | NPPES |
068008700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME39750 (Florida) | Primary |
Provider Name | Rocky Eibert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598780512 PECOS PAC ID: 8022038132 Enrollment ID: I20051205000581 |
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