| Dr Gerald Alan Ross, DO | |
|
10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 | |
| (772) 345-5280 | |
| (772) 345-5274 |
| Full Name | Dr Gerald Alan Ross |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 10000 Sw Innovation Way, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942295563 | NPI | - | NPPES |
| 267126300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OS8788 (Florida) | Primary |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald Alan Ross, DO 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 Ph: (772) 345-5280 | Dr Gerald Alan Ross, DO 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 Ph: (772) 345-5280 |
James Jetrow Presley, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9576 S Us Highway 1, Port Saint Lucie, FL 34952 Phone: 772-337-4000 Fax: 844-543-0396 | |
Dr. Jay R Trabin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1405 Se Goldtree Dr Ste D, Port Saint Lucie, FL 34952 Phone: 772-800-7001 Fax: 772-877-3539 | |
Dr. Grace Haesung Yoo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-5280 | |
Antonio Soegaard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1405 Se Goldtree Dr Ste D, Port Saint Lucie, FL 34952 Phone: 772-800-7001 Fax: 772-877-3539 |