| Dr Mel Timtiman Lizaso, MD | |
|
1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 | |
| (772) 288-5890 | |
| Not Available |
| Full Name | Dr Mel Timtiman Lizaso |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 6 Years |
| Location | 1095 Nw Saint Lucie West Blvd, Port St Lucie, 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 |
|---|---|---|---|
| 1215497789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME169611 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 445 |
| Indian River Health Services Inc | 9234130329 | 329 |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mel Timtiman Lizaso, MD 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 785-5588 | Dr Mel Timtiman Lizaso, MD 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 288-5890 |
Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244 | |
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 | |
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 | |
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919 | |
Alex Sarmen Mirakian, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 |