| Cory Robert Rizzardi, DO | |
|
2540 Green Forest Ln Ste 101, Lutz, FL 33558-5388 | |
| (813) 920-5200 | |
| (813) 920-5228 |
| Full Name | Cory Robert Rizzardi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 2540 Green Forest Ln Ste 101, Lutz, 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 |
|---|---|---|---|
| 1902066129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OT012715 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| South Florida Baptist Hospital | Plant city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Outpatient Imaging Llc | 3577804087 | 73 |
| Stern Drake Isbell And Associates Pa | 3779480835 | 65 |
| St Josephs Diagnostic Center Llc | 3779484928 | 83 |
| Entity Name | Stern Drake Isbell & Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903398 PECOS PAC ID: 3779480835 Enrollment ID: O20031217000029 |
| Entity Name | St Josephs Diagnostic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558342998 PECOS PAC ID: 3779484928 Enrollment ID: O20040120000332 |
| Entity Name | Baycare Outpatient Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417423377 PECOS PAC ID: 3577804087 Enrollment ID: O20190410002311 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Robert Rizzardi, DO 2540 Green Forest Ln Ste 101, Lutz, FL 33558-5388 Ph: (813) 920-5200 | Cory Robert Rizzardi, DO 2540 Green Forest Ln Ste 101, Lutz, FL 33558-5388 Ph: (813) 920-5200 |
Les R Folio, DO Radiology Medicare: Medicare Enrolled Practice Location: 17327 Ladera Estates Blvd, Lutz, FL 33548 Phone: 813-745-7365 Fax: 813-449-8618 | |
Dr. Peter R. Bolos, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1208 Merry Water Dr, Lutz, FL 33548 Phone: 813-477-9979 Fax: 888-688-1659 | |
Dr. Manuel Steven Farber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 606 Druid Way, Lutz, FL 33548 Phone: 813-962-8930 |