| Alexandra Bianca Sarac, DO | |
|
1441 Heritage Blvd, Immokalee, FL 34142 | |
| (239) 658-3000 | |
| (237) 658-3175 |
| Full Name | Alexandra Bianca Sarac |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1441 Heritage Blvd, Immokalee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063687838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 246035 (New York) | Secondary |
| 208000000X | Pediatrics | OS11607 (Florida) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Bianca Sarac, DO 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 658-3000 | Alexandra Bianca Sarac, DO 1441 Heritage Blvd, Immokalee, FL 34142 Ph: (239) 658-3000 |
Dr. Adela M De Vera, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 | |
Dr. Julio C Casas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 | |
Flora Consul Sakornsin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 | |
Jerry Williamson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3196 Fax: 239-658-3175 | |
Dr. Rathna Bushan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-965-8300 Fax: 239-658-3175 | |
Dawn M Bertram-stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 |