| Dr Alexandra Grammenos, DO | |
|
2305 Vidina Dr Ste 102, Melbourne, FL 32940-8066 | |
| (321) 441-8332 | |
| (321) 319-4931 |
| Full Name | Dr Alexandra Grammenos |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 2305 Vidina Dr Ste 102, Melbourne, 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 |
|---|---|---|---|
| 1477059590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OS16130 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavitt Medical Associates Of Florida Inc | 4688579311 | 174 |
| Entity Name | Leavitt Medical Associates Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Entity Name | Brevard Medical Dermatology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649676669 PECOS PAC ID: 4688999345 Enrollment ID: O20150220002314 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154815546 PECOS PAC ID: 3779471701 Enrollment ID: O20181019000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexandra Grammenos, DO 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Alexandra Grammenos, DO 2305 Vidina Dr Ste 102, Melbourne, FL 32940-8066 Ph: (321) 441-8332 |
Anthony Jerome Porter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901 Phone: 321-308-0659 Fax: 321-309-2881 | |
Dr. Peter Mangone Zies, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 17 East Silver Palm Avenue, Melbourne, FL 32901 Phone: 321-725-9041 Fax: 321-722-9248 | |
Mrs. Shalini Thareja, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 675 S Babcock St, Melbourne, FL 32901 Phone: 321-951-1010 Fax: 321-952-4038 | |
Dr. Stephen H Hornell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 333 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-724-9650 Fax: 321-724-2643 | |
Ms. Megan Marie Cronin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1399 S. Harbor City Blvd, Melbourne, FL 32901 Phone: 321-726-1711 Fax: 321-726-1715 | |
Dr. Adam Howard Wiener, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 333 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-724-9650 | |
Larry S Bishop, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7125 Murrell Rd, Melbourne, FL 32940 Phone: 321-242-8790 Fax: 321-751-9362 |