| Dr Dominique Mesidor, MD | |
|
2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | |
| (941) 794-5621 | |
| (941) 761-1532 |
| Full Name | Dr Dominique Mesidor |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 42 Years |
| Location | 2010 59th St W, Bradenton, 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 |
|---|---|---|---|
| 1033205091 | NPI | - | NPPES |
| U1254X | Other | FL | MEDICARE |
| 267667200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | ME0086398 (Florida) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 044539 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 757 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominique Mesidor, MD 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 Ph: (941) 794-5621 | Dr Dominique Mesidor, MD 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 Ph: (941) 794-5621 |
Lemoyne Franklin Johnson, M.C/ Surgery Medicare: Medicare Enrolled Practice Location: 7416 8th Ave Nw, Bradenton, FL 34209 Phone: 941-792-3078 | |
Dr. Alyssa Imperatore Ziehm, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, Bradenton, FL 34209 Phone: 941-794-5621 | |
Paul G Toomey, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 607 Manatee Ave E, 102, Bradenton, FL 34208 Phone: 941-216-3602 Fax: 941-216-3605 | |
Jenna Lindsey Caporaso Kazil, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 105, Bradenton, FL 34205 Phone: 727-787-4379 | |
Dr. Audrey G Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W Ste 105, Bradenton, FL 34205 Phone: 727-787-4379 Fax: 727-228-4542 | |
Dr. Erwin Rusli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 Fax: 941-761-1532 |