| Brant D Hinchman, DO | |
|
1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | |
| (772) 335-4000 | |
| Not Available |
| Full Name | Brant D Hinchman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1800 Se Tiffany Ave, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154673895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | UO 2988 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 0102204592 (Virginia) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Ingleside Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
| Entity Name | Lake Spring Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Kingsford Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Mailing Address | Practice Location Address |
|---|---|
| Brant D Hinchman, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 335-4000 | Brant D Hinchman, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 335-4000 |
Dr. Michael Gulenay, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 | |
Dr. John Suydam Groh, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 Fax: 772-398-1925 | |
Yingna Liu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 914-498-0354 | |
Shelby Lynn Baron, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
Kristine N. Stark-leyva, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-3800 | |
Rick Carlson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 |