| Dr George Edward Mallory, DO | |
|
17606 Nathans Dr, Tampa, FL 33647-2272 | |
| (813) 997-1241 | |
| (813) 973-4664 |
| Full Name | Dr George Edward Mallory |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 17606 Nathans Dr, Tampa, 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 |
|---|---|---|---|
| 1609844695 | NPI | - | NPPES |
| 80714 | Other | FL | BCBS |
| 370789001 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS0005771 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oviedo Medical Center | Oviedo, FL | Hospital |
| Poinciana Medical Center | Kissimmee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockledge Emergency Group Llc | 5092006619 | 15 |
| Entity Name | Mid-florida Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558630152 PECOS PAC ID: 8426213596 Enrollment ID: O20120625000057 |
| Entity Name | Rockledge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Edward Mallory, DO 8955 Magnolia Chase Cir, Tampa, FL 33647-2220 Ph: (813) 997-1241 | Dr George Edward Mallory, DO 17606 Nathans Dr, Tampa, FL 33647-2272 Ph: (813) 997-1241 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Paul Carl Prator, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 Fax: 813-615-7590 | |
Troy Michael Sterk, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3910 Northdale Blvd Ste 206, Tampa, FL 33624 Phone: 813-264-7922 Fax: 813-264-6585 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 |