| Dr Mridul K Mazumder, MD | |
|
1616 Physicians Dr, Tallahassee, FL 32308-4619 | |
| (850) 431-5119 | |
| (850) 431-2467 |
| Full Name | Dr Mridul K Mazumder |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 22 Years |
| Location | 1616 Physicians Dr, Tallahassee, 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 |
|---|---|---|---|
| 1407902364 | NPI | - | NPPES |
| 272555 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME129519 (Florida) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 27255 (South Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Medical Practice Plan Inc | 3971608993 | 27 |
| Entity Name | Florida Medical Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326386293 PECOS PAC ID: 3971608993 Enrollment ID: O20070420000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mridul K Mazumder, MD 1115 W Call St, Tallahassee, FL 32304-3556 Ph: (850) 431-5119 | Dr Mridul K Mazumder, MD 1616 Physicians Dr, Tallahassee, FL 32308-4619 Ph: (850) 431-5119 |
Frank Andrew Kozel, MD MSCR Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 W Call St, Tallahassee, FL 32304 Phone: 850-644-1855 | |
Ms. Allesa Jackson English, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2606 Centennial Pl, Tallahassee, FL 32308 Phone: 850-205-0189 Fax: 850-329-2903 | |
Jessica Ashley Marz, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 N Monroe St Ste 800 (private Office 860), Tallahassee, FL 32301 Phone: 833-351-8255 | |
Eileen Fitzgerald Venable, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2606 Centennial Pl, Tallahassee, FL 32308 Phone: 850-205-0189 | |
Dr. Lauren Lea Wilson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1407 M D Ln Ste B, Tallahassee, FL 32308 Phone: 850-641-7961 Fax: 850-312-3983 | |
Patricia De La Cabada, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 N Monroe St, Tallahassee, FL 32301 Phone: 833-351-8255 | |
Ms. Connie Lou Speer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1407 M D Ln, Ste A, Tallahassee, FL 32308 Phone: 850-877-1746 Fax: 850-877-8215 |