| Dr Glenn Immanuel Kolluri, ME87511 | |
|
200 Se Hospital Ave, Stuart, FL 34994-2346 | |
| (772) 223-5618 | |
| (772) 223-5646 |
| Full Name | Dr Glenn Immanuel Kolluri |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 200 Se Hospital Ave, Stuart, 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 |
|---|---|---|---|
| 1780622480 | NPI | - | NPPES |
| 2674904-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME87511 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Immanuel Kolluri, ME87511 Po Box 417, Stuart, FL 34995-0417 Ph: (772) 223-5665 | Dr Glenn Immanuel Kolluri, ME87511 200 Se Hospital Ave, Stuart, FL 34994-2346 Ph: (772) 223-5618 |
Dr. Lara J Fix, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Se Osceola Street, Stuart, FL 34994 Phone: 772-219-9355 Fax: 772-219-9357 | |
Dr. Shira Mcmahan, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3801 S Kanner Hwy Ste 200, Stuart, FL 34994 Phone: 772-419-3810 Fax: 772-419-3811 | |
Dr. Efrain Acosta-leon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 S Colorado Ave Ste 111a, Stuart, FL 34994 Phone: 917-513-6588 Fax: 917-900-1759 | |
Dr. Cara Marie Yergen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Se Ocean Blvd, Stuart, FL 34994 Phone: 772-249-2339 Fax: 772-742-5512 | |
Mr. Alp Nuri Yurdakul, MD FACOG Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 Se Federal Hwy, Ste 230 New Horizons Of Treasure Coast, Stuart, FL 34994 Phone: 772-221-4088 Fax: 772-221-4089 | |
Jose Rafael Toledo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 827 Se 5th St, Stuart, FL 34994 Phone: 772-223-5345 Fax: 772-223-0960 | |
Clark L Dreilinger, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 Se Federal Hwy, Suite 230, Stuart, FL 34994 Phone: 772-221-4088 Fax: 772-221-4089 |