Dr Nathan Patrick Widboom, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in South Miami, Florida. His current practice location is
7031 Sw 62nd Ave, South Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 284-7761.
Dr Nathan Patrick Widboom is licensed to practice in Florida (license number OS13591) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144565532.
Physician's Profile
| Full Name | Dr Nathan Patrick Widboom |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 7031 Sw 62nd Ave, South Miami, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nathan Patrick Widboom attended and graduated from in
NPI Data:
- NPI Number: 1144565532
- Provider Enumeration Date: 12/11/2012
- Last Update Date: 02/26/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nathan Patrick Widboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144565532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS13591 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | OS13591 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nathan Patrick Widboom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nathan Patrick Widboom, DO
7031 Sw 62nd Ave,
South Miami, FL 33143-4701
Ph: (305) 284-7761 | Dr Nathan Patrick Widboom, DO
7031 Sw 62nd Ave,
South Miami, FL 33143-4701
Ph: (305) 284-7761 |
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