Dr Kelsey Porter, MD | |
101 Avenue O Se, Winter Haven, FL 33880-4333 | |
(863) 294-7010 | |
Not Available |
Full Name | Dr Kelsey Porter |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 101 Avenue O Se, Winter Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215458328 | NPI | - | NPPES |
125325700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 009668 (Georgia) | Primary |
207V00000X | Obstetrics & Gynecology | ME167024 (Florida) | Secondary |
Entity Name | Obhg Georgia, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602 |
Mailing Address | Practice Location Address |
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Dr Kelsey Porter, MD 101 Avenue O Se, Winter Haven, FL 33880-4333 Ph: () - | Dr Kelsey Porter, MD 101 Avenue O Se, Winter Haven, FL 33880-4333 Ph: (863) 294-7010 |
Dr. Maria Isabel Martino-villanueva, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-298-3204 Fax: 863-298-3200 | |
Eva J Salamon, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191 Fax: 863-293-3635 | |
Edna Pierre-louis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-294-0670 Fax: 863-298-3200 | |
Maegan Lubbers, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 Avenue O Se, Winter Haven, FL 33880 Phone: 407-840-8750 Fax: 407-649-4314 | |
Dr. Herbert W. Acken, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 116 Bates Ave Sw, Winter Haven, FL 33880 Phone: 863-299-7704 Fax: 863-297-9772 | |
Joseph A Mancini, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 635 1st St N, Winter Haven, FL 33881 Phone: 863-294-0670 Fax: 863-298-3200 |