| Dr Bradley Leone Shoss, MD | |
|
730 S Washington Ave, Titusville, FL 32780-4232 | |
| (321) 267-2020 | |
| (321) 267-4165 |
| Full Name | Dr Bradley Leone Shoss |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 14 Years |
| Location | 730 S Washington Ave, Titusville, 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 |
|---|---|---|---|
| 1013203272 | NPI | - | NPPES |
| 018716300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME127081 (Florida) | Primary |
| 207W00000X | Ophthalmology | 2015007985 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michael J Kutryb Md Pa | 7012016579 | 3 |
| Entity Name | Florida Pediatric Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053346718 PECOS PAC ID: 2567375561 Enrollment ID: O20031106000599 |
| Entity Name | Florida Eye Clinic P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417921180 PECOS PAC ID: 6406758846 Enrollment ID: O20040126000005 |
| Entity Name | Florida Eye Clinic Ambulatory Surgery Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376513440 PECOS PAC ID: 0749177822 Enrollment ID: O20040303000192 |
| Entity Name | Michael J Kutryb Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902921737 PECOS PAC ID: 7012016579 Enrollment ID: O20070625000127 |
| Entity Name | Florida Eye Clinic Ambulatory Surgery Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1376513440 PECOS PAC ID: 0749177822 Enrollment ID: O20120405000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Leone Shoss, MD 730 S Washington Ave, Titusville, FL 32780-4232 Ph: (321) 267-2020 | Dr Bradley Leone Shoss, MD 730 S Washington Ave, Titusville, FL 32780-4232 Ph: (321) 267-2020 |
Christine Speer Buono, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1832 Garden St, Titusville, FL 32796 Phone: 321-267-0008 | |
Dr. Nicholas Alexander Pefkaros, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1832 Garden St, Titusville, FL 32796 Phone: 321-267-0008 Fax: 321-267-0002 | |
Dr. Fred Kodesch, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4300 Garden St, Titusville, FL 32796 Phone: 321-267-2001 Fax: 321-267-0628 | |
Dr. Michael Kutryb, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 730 S Washington Ave, Titusville, FL 32780 Phone: 210-267-2020 |