Mary Theresa Elengical, DO | |
1000 Waterman Way, Department Of Anesthesia, Tavares, FL 32778-5266 | |
(352) 253-3333 | |
Not Available |
Full Name | Mary Theresa Elengical |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 1000 Waterman Way, Tavares, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275799637 | NPI | - | NPPES |
14A6M | Other | FL | BCBS OF FLORIDA |
002939300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS11134 (Florida) | Primary |
207L00000X | Anesthesiology | 125052315 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bethesda Hospital Inc | Boynton beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Mailing Address | Practice Location Address |
---|---|
Mary Theresa Elengical, DO Po Box 3130, Ocala, FL 34478-3130 Ph: (352) 867-8311 | Mary Theresa Elengical, DO 1000 Waterman Way, Department Of Anesthesia, Tavares, FL 32778-5266 Ph: (352) 253-3333 |
Scott Jay Bullard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Victor A. Argumedo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-867-8311 Fax: 352-867-1053 | |
Dr. John Edwin Dennie, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Kenneth A Buddendorf Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Joseph Gartner, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Radhakrisna Rajulapati, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 |