| Dr Katina Melanie Fosen, MD | |
|
1501 S Pinellas Ave Ste J, Tarpon Springs, FL 34689-1951 | |
| (727) 943-3640 | |
| (727) 942-9745 |
| Full Name | Dr Katina Melanie Fosen |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1501 S Pinellas Ave Ste J, Tarpon Springs, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316068901 | NPI | - | NPPES |
| 014189400 | Medicaid | FL | |
| P01524561 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME119622 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | ME119622 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care Inc | Trinity, FL | Home health agency |
| Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hyperbaric And Woundcare Inc | 1052311560 | 21 |
| Guidewell Emergency Medicine Doctors, Llc | 8224352919 | 78 |
| Entity Name | Hyperbaric & Woundcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457308173 PECOS PAC ID: 1052311560 Enrollment ID: O20070509000211 |
| Entity Name | Guidewell Emergency Medicine Doctors, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629497235 PECOS PAC ID: 8224352919 Enrollment ID: O20150129001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katina Melanie Fosen, MD 6919 N Dale Mabry Hwy Ste 250, Tampa, FL 33614-3860 Ph: (813) 935-4210 | Dr Katina Melanie Fosen, MD 1501 S Pinellas Ave Ste J, Tarpon Springs, FL 34689-1951 Ph: (727) 943-3640 |
Dr. Jose Miguel Barquin Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1395 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-942-5000 | |
Dr. Mark Dale Dixon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1395 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 813-972-4199 Fax: 813-972-5753 | |
Brian Lee Brown, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1395 Pinellas Avenue, Tarpon Springs, FL 34689 Phone: 727-942-5008 Fax: 727-942-5121 | |
Ali Ahmed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 846 Callista Cay Loop, Tarpon Springs, FL 34689 Phone: 419-356-0566 | |
Dr. Matthew Wayne Smith, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1395 S Pinellas Ave Fl 34689, Tarpon Springs, FL 34689 Phone: 727-942-5000 | |
Paul Francis Robinson, M.D. PH.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1395 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-942-5121 Fax: 813-972-5753 | |
Kasia Miley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1395 S Pinellas Ave, Tarpon Springs, FL 34689 Phone: 727-942-5000 |