| Dr Andrew Sean Mallon, DO | |
|
1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 | |
| (727) 216-0700 | |
| (727) 216-0704 |
| Full Name | Dr Andrew Sean Mallon |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 16 Years |
| Location | 1330 S Fort Harrison Ave, Clearwater, 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 |
|---|---|---|---|
| 1255569570 | NPI | - | NPPES |
| 010925000 | Medicaid | FL | |
| OS12619 | Other | FL | STATE OF FLORIDA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | OS12619 (Florida) | Primary |
| 207Y00000X | Otolaryngology | OT013216 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Coast Ear, Nose And Throat, Inc | 0941260103 | 23 |
| Entity Name | West Coast Ear, Nose & Throat, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346229440 PECOS PAC ID: 0941260103 Enrollment ID: O20041013000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Sean Mallon, DO 2515 Countryside Blvd, Suite E, Clearwater, FL 33763-1603 Ph: (727) 216-0700 | Dr Andrew Sean Mallon, DO 1330 S Fort Harrison Ave, Clearwater, FL 33756-3313 Ph: (727) 216-0700 |
Matthew Clavenna, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 Fax: 727-216-0704 | |
Dr. Dipan Desai, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 | |
Jonathan M Morgan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S. Ft. Harrison Ave, Clearwater, FL 33756 Phone: 727-441-3588 Fax: 727-461-1038 | |
Dr. Scott Michael Greene, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-441-3588 Fax: 727-461-1038 | |
Dr. Faisal Merchant, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1330 S Fort Harrison Ave, Clearwater, FL 33756 Phone: 727-216-0700 Fax: 727-216-0704 | |
Dr. Jerry Alan Margolin, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 501 S Lincoln Ave, Suite 26, Clearwater, FL 33756 Phone: 727-442-2193 Fax: 727-466-6483 |