| Boris Reznikov, DO | |
|
1000 36th St, Vero Beach, FL 32960-4862 | |
| (646) 244-1733 | |
| Not Available |
| Full Name | Boris Reznikov |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 1000 36th St, Vero Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649536608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB09061100 (New Jersey) | Secondary |
| 207P00000X | Emergency Medicine | OS13924 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Fl Llc | 8426413931 | 491 |
| Ies Florida Pllc | 8921485004 | 20 |
| Methodist South Emergency Physicians, Pllc | 6406205608 | 42 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Duval Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053645465 PECOS PAC ID: 5991846370 Enrollment ID: O20100107000235 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Rockledge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Entity Name | Ridgewood Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750862694 PECOS PAC ID: 6305199597 Enrollment ID: O20181106001193 |
| Entity Name | Port Charlotte Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376147835 PECOS PAC ID: 4880093244 Enrollment ID: O20210604001879 |
| Entity Name | Ies Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Entity Name | Em Alliance Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922788959 PECOS PAC ID: 4789039058 Enrollment ID: O20231006002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Reznikov, DO 1000 36th St, Vero Beach, FL 32960-6592 Ph: (772) 567-4311 | Boris Reznikov, DO 1000 36th St, Vero Beach, FL 32960-4862 Ph: (646) 244-1733 |
Dr. Philip Miles Buttaravoli, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 755 27th Ave Sw, Suite 9, Vero Beach, FL 32968 Phone: 772-299-0909 Fax: 772-299-0989 | |
Dr. Kassra - Michael Khazalpour, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. Dudley Gardner Teel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-563-4440 | |
Dr. Timothy Adkins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 48th Ave, Vero Beach, FL 32966 Phone: 772-778-0409 | |
Dr. Kathleen Fraga, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1960 Pointe West Dr, Vero Beach, FL 32966 Phone: 772-226-4250 Fax: 772-226-4253 | |
Salvatore Vassallo Iii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 813-916-2347 | |
Thomas P Gambino, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |