| Dr Mark J Alkire, MD | |
| 5 Tampa General Cir, Ste 860, Tampa, FL 33606-3601 | |
| (813) 258-4533 | |
| (813) 258-4733 | 
| Full Name | Dr Mark J Alkire | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 5 Tampa General Cir, Tampa, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366449993 | NPI | - | NPPES | 
| 12385 | Other | FL | BX IND | 
| 2463923 | Other | FL | AETNA | 
| 330005523 | Other | FL | RR MEDICARE | 
| LQ888 | Other | FL | BLUE CROSS BLUE SHIELD | 
| 058348100 | Medicaid | FL | |
| 593689604 | Other | FL | TAX ID | 
| ME0056072 | Other | FL | FL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME0056072 (Florida) | Secondary | 
| 2086S0129X | Surgery - Vascular Surgery | ME56072 (Florida) | Primary | 
| Entity Name | University Medical Service Association Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark J Alkire, MD Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Dr Mark J Alkire, MD 5 Tampa General Cir, Ste 860, Tampa, FL 33606-3601 Ph: (813) 258-4533 | 
| Dr. Michael Martin Wach, MD Surgery Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916 | |
| Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222 | |
| Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
| Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
| Brad L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
| Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 | |
| Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 |