| Colleen Macinnis, MD | |
|
4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 | |
| (352) 350-5230 | |
| (866) 539-7193 |
| Full Name | Colleen Macinnis |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 4120 Corley Island Rd, Leesburg, 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 |
|---|---|---|---|
| 1700828290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME100399 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Macinnis Dermatology | 1759424104 | 7 |
| Entity Name | Macinnis Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992035695 PECOS PAC ID: 1759424104 Enrollment ID: O20100206000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Macinnis, MD 4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 Ph: (352) 350-5230 | Colleen Macinnis, MD 4120 Corley Island Rd, Suite 600, Leesburg, FL 34748-8292 Ph: (352) 350-5230 |
Dr. Jorge E Torres, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1132 E North Blvd, Leesburg, FL 34748 Phone: 352-365-6650 Fax: 352-365-0932 | |
Jeren Robert Kowalewski, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1340 Citizens Blvd, Leesburg, FL 34748 Phone: 352-435-7695 | |
Kevin E Chun, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1132 E North Blvd, Leesburg, FL 34748 Phone: 352-365-6650 Fax: 352-365-0932 | |
Michel A Snyder, MD Dermatology Medicare: Medicare Enrolled Practice Location: 608 S 9th St, Ste C, Leesburg, FL 34748 Phone: 352-787-4532 Fax: 352-787-0498 |