| Dr Maxime G Gedeon, MD | |
|
2310 North Blvd W Ste A, Davenport, FL 33837-8988 | |
| (813) 701-5804 | |
| (813) 291-7615 |
| Full Name | Dr Maxime G Gedeon |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 34 Years |
| Location | 2310 North Blvd W Ste A, Davenport, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720074487 | NPI | - | NPPES |
| 875476 | Other | PA | BLUE SHIELD |
| 0015959640008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD059432L (Pennsylvania) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME166986 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pain And Rehabilitation Associates Inc | 6204732605 | 65 |
| Entity Name | Florida Pain And Rehabilitation Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053363457 PECOS PAC ID: 6204732605 Enrollment ID: O20031219000145 |
| Entity Name | Excel Pain And Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063028587 PECOS PAC ID: 8123447869 Enrollment ID: O20200930001765 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maxime G Gedeon, MD 3501 Bessie Coleman Blvd Unit 25201, Tampa, FL 33622-9130 Ph: (813) 701-5804 | Dr Maxime G Gedeon, MD 2310 North Blvd W Ste A, Davenport, FL 33837-8988 Ph: (813) 701-5804 |
Tom Porter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Dr, Ste. 200, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Neal Shah, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2310 North Blvd W Ste A, Davenport, FL 33837 Phone: 863-732-7246 Fax: 863-256-2520 | |
Mark D Tran, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971 | |
Janelle Mcneil-masuka, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2310 North Blvd W Ste A, Davenport, FL 33837 Phone: 813-701-5804 Fax: 813-291-7615 |