| Alex Sarmen Mirakian, | |
|
8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952-3482 | |
| (772) 281-3060 | |
| (772) 281-3055 |
| Full Name | Alex Sarmen Mirakian |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 35 Years |
| Location | 8980 S Us Highway 1 Ste 105, Port St Lucie, 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 |
|---|---|---|---|
| 1598807778 | NPI | - | NPPES |
| P938828 | Other | FL | OPTIMUM |
| 258638 | Medicaid | AL | |
| 9811089 | Other | FL | AETNA |
| 256925 | Medicaid | AL | |
| 14301 | Other | FL | DIMENSION HEALTH PPO |
| 329725 | Other | FL | AVMED |
| A98751A | Other | AL | MEDICARE PTAN |
| P02566934 | Other | AL | RAILROAD MEDICARE |
| P997944 | Other | FL | FREEDOM |
| 58061 | Other | FL | BCBS |
| P01568224 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME158312 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Andalusia Health | Andalusia, AL | Hospital |
| Jackson Hospital | Marianna, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Limitless Partners | 5092168765 | 2 |
| Omni Healthcare, Inc | 5496652380 | 31 |
| Limitless Partners | 5092168765 | 2 |
| Entity Name | Omni Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059 |
| Entity Name | Limitless Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538937677 PECOS PAC ID: 5092168765 Enrollment ID: O20240129004463 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Sarmen Mirakian, 2100 Pga Blvd Apt 439, N Palm Beach, FL 33408-2788 Ph: (813) 777-4314 | Alex Sarmen Mirakian, 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952-3482 Ph: (772) 281-3060 |
Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244 | |
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 | |
Dr. Mel Timtiman Lizaso, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986 Phone: 772-288-5890 | |
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 | |
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919 |