| Elise Clark, | |
|
3100 S Douglas Rd, Coral Gables, FL 33134-6923 | |
| (305) 445-8461 | |
| Not Available |
| Full Name | Elise Clark |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 3100 S Douglas Rd, Coral Gables, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659951358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS20920 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coral Gables Hospital | Coral gables, FL | Hospital |
| South Miami Hospital | South miami, FL | Hospital |
| West Kendall Baptist Hospital | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Contracting Services Llc | 3971417825 | 369 |
| South Miami Criticare Inc | 5092629808 | 25 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Clark, 20900 Biscayne Blvd, Aventura, FL 33180-1407 Ph: (305) 682-7000 | Elise Clark, 3100 S Douglas Rd, Coral Gables, FL 33134-6923 Ph: (305) 445-8461 |
Dr. Vikas Goswamy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5010 S Le Jeune Rd, Coral Gables, FL 33146 Phone: 516-808-8216 Fax: 786-227-5720 | |
Jose Vidal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 Fax: 305-662-3723 | |
John D Stallard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 305-669-3469 | |
Francisco A Reytor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Sw 8th St, Coral Gables, FL 33134 Phone: 305-264-5154 Fax: 305-265-5124 | |
Dr. Edwin Yi-chaio Hsu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 University Dr, Attention: Er Stat, Coral Gables, FL 33146 Phone: 786-308-3902 | |
Sergio Sobredo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 S Douglas Rd, Coral Gables, FL 33134 Phone: 305-445-8461 | |
Christina Lynn Smith, APRN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 |