| Dirk Entzian, MD | |
|
100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | |
| (813) 899-6220 | |
| (813) 985-8006 |
| Full Name | Dirk Entzian |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 100 South Ashley Drive, Tampa, 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 |
|---|---|---|---|
| 1457309692 | NPI | - | NPPES |
| U000075283 | Other | UT | MEDICARE |
| 20000820 | Other | ID | MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Lawnwood Hospital | Fort pierce, FL | Hospital |
| Hca Florida St Lucie Hospital | Port saint lucie, FL | Hospital |
| Hca Florida Highlands Hospital | Sebring, FL | Hospital |
| Hca Florida Raulerson Hospital | Okeechobee, FL | Hospital |
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20200306002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dirk Entzian, MD 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 Ph: (813) 899-6220 | Dirk Entzian, MD 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 Ph: (813) 899-6220 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 137-457-3658 Fax: 813-449-8618 |
Joshua Vernon Wright, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673 Fax: 813-449-8618 |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 |
Wei Lue Tong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 |