Dr Jared John Wallen, MD | |
938 Oakfield Dr, Brandon, FL 33511-4950 | |
(813) 278-8850 | |
(813) 820-3508 |
Full Name | Dr Jared John Wallen |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 12 Years |
Location | 938 Oakfield Dr, Brandon, 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 |
---|---|---|---|
1144596974 | NPI | - | NPPES |
120075300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME131777 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oroville Hospital | Oroville, CA | Hospital |
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Brandon Regional Hospital | Brandon, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health First Medical Group Llc | 7416100672 | 713 |
Oroville Hospital | 1254234339 | 97 |
Orohealth Corporation A Non Profit Healthcare System | 4082501192 | 128 |
Entity Name | Health First Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Entity Name | Florida Hospital Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
---|---|
Dr Jared John Wallen, MD 938 Oakfield Dr, Brandon, FL 33511-4950 Ph: (813) 278-8850 | Dr Jared John Wallen, MD 938 Oakfield Dr, Brandon, FL 33511-4950 Ph: (813) 278-8850 |
Richard Landrigan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 505 Eichenfeld Dr, Suite 109, Brandon, FL 33511 Phone: 813-684-0808 Fax: 813-689-0825 | |
Dr. Jamil Rehman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 620 Eichenfeld Dr, Brandon, FL 33511 Phone: 813-653-3737 Fax: 813-653-2525 |