| Dr Grace Haesung Yoo, MD | |
| 
					10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111  | |
| (772) 345-5280 | |
| Not Available | 
| Full Name | Dr Grace Haesung Yoo | 
|---|---|
| Gender | Female | 
| 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 | 
|---|---|---|---|
| 1518952571 | NPI | - | NPPES | 
| 267125500 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME86154 (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 Grace Haesung Yoo, MD 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 Ph: (772) 345-5280  | Dr Grace Haesung Yoo, MD 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  | |
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  | |
Dr. Gerald Alan Ross, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-5280 Fax: 772-345-5274  |