| Dr Edward M Fabelo, MD | |
|
620 10th Street N., St. Petersburg, FL 33705-1407 | |
| (727) 824-8274 | |
| (727) 824-8293 |
| Full Name | Dr Edward M Fabelo |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 24 Years |
| Location | 620 10th Street N., St. Petersburg, 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 |
|---|---|---|---|
| 1326263955 | NPI | - | NPPES |
| 278384300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 056053 (Georgia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | ME97893 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Petersburg Kidney Care | Saint petersburg, FL | Dialysis facility |
| St Petersburg Kidney Care South | Saint petersburg, FL | Dialysis facility |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| Morton Plant Hospital | Clearwater, FL | Hospital |
| Palms Of Pasadena Hospital | Saint petersburg, 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 Edward M Fabelo, MD Po Box 12868, St. Petersburg, FL 33733-2868 Ph: (727) 532-1355 | Dr Edward M Fabelo, MD 620 10th Street N., St. Petersburg, FL 33705-1407 Ph: (727) 824-8274 |
Dr. Susan M Fraser, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 620 10th Street N., St. Petersburg, FL 33705 Phone: 727-824-8325 Fax: 727-824-8347 | |
Dr. Patrick J Klemawesch, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6294 - 1st Ave N, Allergy Associates, St. Petersburg, FL 33710 Phone: 727-345-1900 Fax: 727-347-5273 | |
Dr. Mrinalini Emma Matcha, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 66th Street North, Suite 302, St. Petersburg, FL 33701 Phone: 727-290-9899 Fax: 727-290-9898 | |
Victoria D Woods, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave North, St. Anthony's Health Care-wound Healing Center, St. Petersburg, FL 33734 Phone: 727-825-1687 | |
Dr. Harry B Sperber, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 620 10th Street N., St. Petersburg, FL 33705 Phone: 727-824-7116 Fax: 727-824-7177 | |
Roland M Lajoie, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2815 1st Avenue North, Suite B, St. Petersburg, FL 33713 Phone: 727-328-9661 Fax: 727-328-9772 |