| Dr Karl D Bodendorfer, MD | |
|
1615 Sw Main Blvd, Lake City, FL 32025-1108 | |
| (386) 755-2785 | |
| (386) 755-1128 |
| Full Name | Dr Karl D Bodendorfer |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 31 Years |
| Location | 1615 Sw Main Blvd, Lake City, 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 |
|---|---|---|---|
| 1205947959 | NPI | - | NPPES |
| 001933700 | Medicaid | FL | |
| 259120101 | Medicaid | FL | |
| P00087109 | Other | FL | RAILROAD MEDICARE |
| 35612A | Other | FL | BC/BS |
| 259120100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME78478 (Florida) | Secondary |
| 207W00000X | Ophthalmology | ME78478 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Eye Associates Pa | 7517950637 | 8 |
| Entity Name | Columbia Eye Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295921096 PECOS PAC ID: 7517950637 Enrollment ID: O20040405001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karl D Bodendorfer, MD Po Box 489, Lake City, FL 32056-0489 Ph: (386) 755-2785 | Dr Karl D Bodendorfer, MD 1615 Sw Main Blvd, Lake City, FL 32025-1108 Ph: (386) 755-2785 |
Paul Kenneth Rentiers, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6423 | |
Mary Shenouda, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Dr. Chasidy Dionne Singleton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Charles P Sweeney, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Eduardo Bedoya, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 876 Sw State Road 247, Lake City, FL 32025 Phone: 386-755-7595 Fax: 386-755-7561 | |
Richard W Reichert, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 |