| Dr Setu A Dalal, DO | |
|
2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 | |
| (772) 462-3939 | |
| (772) 462-3938 |
| Full Name | Dr Setu A Dalal |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 2402 Frist Blvd, Fort Pierce, 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 |
|---|---|---|---|
| 1013180447 | NPI | - | NPPES |
| P00691798 | Other | FL | RR MEDICARE |
| 000431300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34.008816 (Ohio) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | OS 10402 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Surgery And Wound Care Llc | 3779974274 | 7 |
| Nuvance Health Medical Practice, Pc | 1658468442 | 511 |
| Entity Name | North Jersey Trauma & Critical Care Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831363852 PECOS PAC ID: 8325111685 Enrollment ID: O20080718000526 |
| Entity Name | Ccmma Nj Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124543095 PECOS PAC ID: 8123392495 Enrollment ID: O20170926000361 |
| Entity Name | Hackensack Surgery And Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326640806 PECOS PAC ID: 3779974274 Enrollment ID: O20211216001852 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Setu A Dalal, DO 2402 Frist Blvd, Suite 203, Fort Pierce, FL 34950-4838 Ph: (772) 462-3939 | Dr Setu A Dalal, DO 2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 Ph: (772) 462-3939 |
Christian R Schuetz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2042 Frist Blvd, Suite 204, Fort Pierce, FL 34950 Phone: 772-462-3939 Fax: 772-462-3938 | |
Dr. Charles Miles Maliska Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950 Phone: 772-462-3939 | |
Dr. Nanjappa Subramanian, MD FACS Surgery Medicare: Not Enrolled in Medicare Practice Location: 2215 Nebraska Ave, Suite 1 E, Fort Pierce, FL 34950 Phone: 772-461-2555 Fax: 772-461-0775 | |
Dr. Anuradha Subramanian, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950 Phone: 772-462-3939 Fax: 772-462-3938 | |
Dr. Jason Alan Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd, Ste. 204, Fort Pierce, FL 34950 Phone: 772-462-3939 | |
Dr. Colin G Knight, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950 Phone: 772-462-3939 Fax: 772-462-3938 |