| Dr Michael Stanley Fruchter, MD | |
|
9418 Lago Dr, Boynton Beach, FL 33472-2752 | |
| (561) 523-0351 | |
| Not Available |
| Full Name | Dr Michael Stanley Fruchter |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 9418 Lago Dr, Boynton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417272246 | NPI | - | NPPES |
| 6758 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 7420 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 164771 (New York) | Primary |
| Entity Name | Santa Barbara County Auditor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487857405 PECOS PAC ID: 9335052083 Enrollment ID: O20081226000157 |
| Entity Name | San Benito County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255461471 PECOS PAC ID: 2860655669 Enrollment ID: O20120515000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stanley Fruchter, MD 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 Ph: (818) 896-1161 | Dr Michael Stanley Fruchter, MD 9418 Lago Dr, Boynton Beach, FL 33472-2752 Ph: (561) 523-0351 |
Juan Luis Castro Cordoba, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL 33437 Phone: 561-752-9491 Fax: 561-752-9491 | |
Dr. Sarah Youssef, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1903 S Congress Ave Ste 380, Boynton Beach, FL 33426 Phone: 561-336-4790 | |
Mikhail Vassilenko, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL 33437 Phone: 561-752-9490 Fax: 561-752-9491 | |
Dr. Joel P Dey, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL 33437 Phone: 561-752-9490 Fax: 561-752-9491 | |
Linda Welkovich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4905 Park Ridge Blvd, Boynton Beach, FL 33426 Phone: 561-880-6200 | |
Dr. Dennys Reyes Candedo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8756 Boynton Beach Blvd Ste 2500, Boynton Beach, FL 33472 Phone: 561-499-7551 | |
Olinda Isabel Verdecie Feria, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2800 S Seacrest Blvd Ste 160, Boynton Beach, FL 33435 Phone: 561-955-4600 Fax: 561-955-2962 |