| Ethan G Polsky, MD | |
|
4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 | |
| (813) 874-7500 | |
| (813) 877-1397 |
| Full Name | Ethan G Polsky |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 4712 N Armenia Ave, Tampa, 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 |
|---|---|---|---|
| 1871559740 | NPI | - | NPPES |
| 275204200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | ME95516 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Childrens Urology Group Pl | 2668436270 | 2 |
| Entity Name | Childrens Urology Group Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194836239 PECOS PAC ID: 2668436270 Enrollment ID: O20041115000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan G Polsky, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500 | Ethan G Polsky, MD 4712 N Armenia Ave, Suite 200, Tampa, FL 33603-2611 Ph: (813) 874-7500 |
Alberto Juan Duboy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612 Phone: 813-259-8581 Fax: 813-259-8507 | |
Alexandra Maria-pilar Darien, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 2 Tampa General Cir # 6070, Tampa, FL 33606 Phone: 813-259-8801 | |
Mohit Sirohi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1 Davis Blvd., #604, Tampa, FL 33606 Phone: 813-258-9565 Fax: 813-258-3535 | |
Alice Yu, Urology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2226 Fax: 813-449-8618 | |
Dr. Mohendra Gopal Biswas, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 6101 Webb Rd, Suite 203, Tampa, FL 33615 Phone: 813-884-4794 Fax: 813-882-0650 | |
Dr. Jeffrey Bernard Starling, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5332 Primrose Lake Cir, Tampa, FL 33647 Phone: 813-558-9091 Fax: 813-866-3948 | |
Dr. Fernando E. Coste-delvecchio, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Stc 7th Floor, Tampa, FL 33606 Phone: 813-974-4115 |