| Dr Eric Ordinario, DO | |
|
4601 W Us Highway 90, Lake City, FL 32055-4880 | |
| (386) 752-4189 | |
| (386) 752-4213 |
| Full Name | Dr Eric Ordinario |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 33 Years |
| Location | 4601 W Us Highway 90, Lake City, 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 |
|---|---|---|---|
| 1871545301 | NPI | - | NPPES |
| 256141700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | OS7652 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Ed Fraser Memorial Hospital | Macclenny, FL | Hospital |
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ackerman Cancer Center Pa | 3779541362 | 10 |
| Floyd Physicians Llc | 6406852375 | 46 |
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Ackerman Cancer Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265111629 PECOS PAC ID: 3779541362 Enrollment ID: O20041229000504 |
| Entity Name | Lake City Cancer Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Ordinario, DO 4601 W Us Highway 90, Lake City, FL 32055-4880 Ph: (386) 752-4189 | Dr Eric Ordinario, DO 4601 W Us Highway 90, Lake City, FL 32055-4880 Ph: (386) 752-4189 |
John D. Chulik, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 | |
Dr. Robert George Busch, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 4601 W Us Highway 90, Lake City, FL 32055 Phone: 386-752-4189 Fax: 386-752-4213 |