| Dr Blaine Richard Heric, MD | |
|
455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | |
| (727) 446-2273 | |
| (727) 441-4966 |
| Full Name | Dr Blaine Richard Heric |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 43 Years |
| Location | 455 Pinellas St, 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 |
|---|---|---|---|
| 1912971946 | NPI | - | NPPES |
| 252274880 | Medicaid | FL | |
| P01735276 | Other | FL | RAILROAD MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME73348 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baycare Home Care Inc | Largo, FL | Home health agency |
| Baycare Home Care Inc | Dunedin, FL | Home health agency |
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blaine Richard Heric, MD Po Box 10744, Clearwater, FL 33757-8744 Ph: (727) 532-0002 | Dr Blaine Richard Heric, MD 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 Ph: (727) 446-2273 |
Thomas Deal, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 800 Eldorado Ave, Clearwater, FL 33767 Phone: 727-461-0670 | |
John C Ofenloch, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 455 Pinellas St, Suite 320, Clearwater, FL 33756 Phone: 727-446-2273 Fax: 727-441-4966 | |
Dr. Jeffrey N Bott, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 455 Pinellas St Ste 320, Clearwater, FL 33756 Phone: 727-446-2273 Fax: 727-441-4966 | |
Ms. Katelyn Mary Klintworth, APRN Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Dr. Joshua David Rovin, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 455 Pinellas St., Suite 320, Clearwater, FL 33756 Phone: 727-446-2273 Fax: 727-441-4966 | |
Dr. Liberato Chapa, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 455 Pinellas St, Suite 320, Clearwater, FL 33756 Phone: 727-446-2273 Fax: 727-441-4966 |