| Gary S Allen, MD | |
|
3310 Waterman Way, Tavares, FL 32778-5250 | |
| (352) 343-1216 | |
| (352) 343-1582 |
| Full Name | Gary S Allen |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 34 Years |
| Location | 3310 Waterman Way, Tavares, 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 |
|---|---|---|---|
| 1154327872 | NPI | - | NPPES |
| 258936200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME80476 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Hospice Inc - Dothan | Dothan, AL | Hospice |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Allen, MD Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Gary S Allen, MD 3310 Waterman Way, Tavares, FL 32778-5250 Ph: (352) 343-1216 |
Terry Paul Olivas, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3310 Waterman Way, Tavares, FL 32778 Phone: 352-343-1216 Fax: 352-343-1582 | |
Hugh Maurice Vangelder, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3310 Waterman Way, Tavares, FL 32778 Phone: 352-343-1216 Fax: 352-343-1582 |