| Dr Mary R De Sena, MD | |
|
635 1st St N, Winter Haven, FL 33881-4129 | |
| (863) 294-0670 | |
| (863) 298-3200 |
| Full Name | Dr Mary R De Sena |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 635 1st St N, Winter Haven, 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 |
|---|---|---|---|
| 1104819853 | NPI | - | NPPES |
| 273214900 | Medicaid | FL | |
| P00606035 | Other | FL | RRM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME90242 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Home Care | Winter haven, FL | Home health agency |
| Trucare Home Health Solutions Llc | Lakeland, FL | Home health agency |
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Gessler Clinic Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154399533 PECOS PAC ID: 3476545484 Enrollment ID: O20040331000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary R De Sena, MD 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Dr Mary R De Sena, MD 635 1st St N, Winter Haven, FL 33881-4129 Ph: (863) 294-0670 |
Arnold Epel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1514 1st St N, Winter Haven, FL 33881 Phone: 863-292-4280 | |
Saundra Holseth, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5535 Cypress Gardens Blvd Ste 270, Winter Haven, FL 33884 Phone: 863-401-4401 Fax: 866-824-2717 | |
Dr. Indra Prasad Reddy Peram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Christopher Lance Jebailey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Avenue K Se Ste 11, Winter Haven, FL 33880 Phone: 863-294-4404 Fax: 863-294-1059 | |
Ashraf M Hassan, Family Medicine Medicare: Medicare Enrolled Practice Location: 550 Pope Ave Nw, Winter Haven, FL 33881 Phone: 863-299-2630 Fax: 863-969-0711 | |
Dr. William Lemaster Tate, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 632-931-1918 |