| Dr Brian D Hale, MD | |
|
35095 Us Highway 19 N, Ste 202, Palm Harbor, FL 34684-1971 | |
| (727) 771-0600 | |
| (727) 781-9666 |
| Full Name | Dr Brian D Hale |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 35095 Us Highway 19 N, Palm Harbor, 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 |
|---|---|---|---|
| 1457355059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME67771 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| Medical Center Of Trinity | Trinity, FL | Hospital |
| Morton Plant Hospital | Clearwater, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Urology Institute Llc | 2163653585 | 136 |
| Entity Name | Advanced Urology Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian D Hale, MD 12109 County Road 103, Oxford, FL 34484-2951 Ph: (352) 205-8981 | Dr Brian D Hale, MD 35095 Us Highway 19 N, Ste 202, Palm Harbor, FL 34684-1971 Ph: (727) 771-0600 |
Amar Raval, Urology Medicare: Accepting Medicare Assignments Practice Location: 35095 Us Highway 19 N Ste 202, Palm Harbor, FL 34684 Phone: 727-771-0600 | |
Dr. Yaser Sedrak Bassel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 35095 Us Highway 19 N, Suite 202, Palm Harbor, FL 34684 Phone: 727-771-0600 Fax: 727-781-9666 | |
Mr. Robert William Santa-cruz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 34041 Us 19 N Ste D, Palm Harbor, FL 34684 Phone: 727-942-5189 Fax: 727-390-8309 | |
Mr. Sobhy D Shehata, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 34645 Us Highway 19 N, Palm Harbor, FL 34684 Phone: 727-787-4595 Fax: 727-784-7896 | |
Ramon Perez-marrero, MD Urology Medicare: Medicare Enrolled Practice Location: 34041 Us 19 N Ste D, Palm Harbor, FL 34684 Phone: 727-942-5189 Fax: 727-390-8309 |