| Dr Komala N Bhushan, MD | |
|
512 N Lecanto Hwy # 491, Lecanto, FL 34461-8547 | |
| (352) 527-2244 | |
| Not Available |
| Full Name | Dr Komala N Bhushan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 512 N Lecanto Hwy # 491, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457412801 | NPI | - | NPPES |
| 74732 | Other | FL | BLUE SHIELD PROVIDER# |
| 201205 | Other | FL | AMERI GROUP |
| 21644 | Other | FL | HEALTHEASE & HEALTHYKIDS |
| 270492700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME06580 (Florida) | Primary |
| Entity Name | Project Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437180239 PECOS PAC ID: 0446153399 Enrollment ID: O20040601001397 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Komala N Bhushan, MD 556 W Britain St, Hernando, FL 34442-8200 Ph: (352) 527-2944 | Dr Komala N Bhushan, MD 512 N Lecanto Hwy # 491, Lecanto, FL 34461-8547 Ph: (352) 527-2244 |
Esther Gonzalez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 W Sovereign Path, Lecanto, FL 34461 Phone: 352-527-0068 Fax: 352-795-7883 | |
Lilia Rashitovna Shammas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Christa Michelle Nied, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 |