| Dr Gregory Harris Bach, MD | |
|
2010 59th St W Ste 2200, Bradenton, FL 34209-4689 | |
| (941) 794-5621 | |
| Not Available |
| Full Name | Dr Gregory Harris Bach |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2010 59th St W Ste 2200, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417481367 | NPI | - | NPPES |
| 6F3Y4 | Other | FL | BCBS |
| 115062800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | ME150196 (Florida) | Secondary |
| 208600000X | Surgery | ME150196 (Florida) | Primary |
| Entity Name | West Florida Trauma Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902198948 PECOS PAC ID: 7911175658 Enrollment ID: O20110722000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Harris Bach, MD 2020 59th St W Ste 2200, Bradenton, FL 34209-4604 Ph: (941) 794-5621 | Dr Gregory Harris Bach, MD 2010 59th St W Ste 2200, Bradenton, FL 34209-4689 Ph: (941) 794-5621 |
Dr. Dominique Mesidor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W, Suite 2200, Bradenton, FL 34209 Phone: 941-794-5621 Fax: 941-761-1532 | |
Lemoyne Franklin Johnson, M.C/ Surgery Medicare: Medicare Enrolled Practice Location: 7416 8th Ave Nw, Bradenton, FL 34209 Phone: 941-792-3078 | |
Dr. Alyssa Imperatore Ziehm, DO Surgery Medicare: Medicare Enrolled Practice Location: 2010 59th St W, Bradenton, FL 34209 Phone: 941-794-5621 | |
Paul G Toomey, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 607 Manatee Ave E, 102, Bradenton, FL 34208 Phone: 941-216-3602 Fax: 941-216-3605 | |
Jenna Lindsey Caporaso Kazil, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 105, Bradenton, FL 34205 Phone: 727-787-4379 | |
Guillermo Sanabria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5304 4th Avenue Cir E, Bradenton, FL 34208 Phone: 941-744-2640 Fax: 941-744-2650 | |
Dr. Erwin Rusli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 Fax: 941-761-1532 |