| Dr Elena Herschdorfer, DO | |
|
1050 Loveland Blvd, Port Charlotte, FL 33980-1813 | |
| (941) 833-6531 | |
| (941) 764-0259 |
| Full Name | Dr Elena Herschdorfer |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 1050 Loveland Blvd, Port Charlotte, 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 |
|---|---|---|---|
| 1548772650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | U04643 (Florida) | Secondary |
| 207Q00000X | Family Medicine | OS15077 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paxton Medical Management | 7214349737 | 6 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Entity Name | Paxton Medical Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457950420 PECOS PAC ID: 7214349737 Enrollment ID: O20201207002092 |
| Entity Name | Synergy Hospital Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508610460 PECOS PAC ID: 1254874753 Enrollment ID: O20240625000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elena Herschdorfer, DO Po Box 494205, Port Charlotte, FL 33949-4205 Ph: () - | Dr Elena Herschdorfer, DO 1050 Loveland Blvd, Port Charlotte, FL 33980-1813 Ph: (941) 833-6531 |
Samantha Jean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Harbor Blvd, Suite 308, Port Charlotte, FL 33952 Phone: 419-629-7777 Fax: 941-629-8170 | |
Dr. Jean Murphy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Lisa A Mattingly, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1050 Loveland Blvd, Port Charlotte, FL 33980 Phone: 941-764-0301 | |
Ewa A Bialikiewicz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Louise A Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Arturo Rodriguez-martin, MD PL Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1351 Fax: 941-613-1591 | |
Dr. Paul B. Graniero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 |