| Dr Allison Beth Boemer, MD | |
|
1210 Waterman Way, Tavares, FL 32778-5229 | |
| (352) 343-2364 | |
| (352) 253-0022 |
| Full Name | Dr Allison Beth Boemer |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 1210 Waterman Way, Tavares, 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 |
|---|---|---|---|
| 1831532217 | NPI | - | NPPES |
| 226108 | Medicaid | AL | |
| 218921 | Medicaid | AL | |
| 6942025 | Other | AL | BCBS ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD.36915 (Alabama) | Secondary |
| 208800000X | Urology | ME142814 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allison Beth Boemer, MD 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 | Dr Allison Beth Boemer, MD 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 |
Dr. Michael Warren Fountain, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 | |
Randolph Gray Hunter, MD Urology Medicare: Medicare Enrolled Practice Location: 1934 Salk Ave, Tavares, FL 32778 Phone: 352-742-2201 | |
Jason L. Gerboc, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-343-0548 |