| Graciela O Deboccardo, MD | |
|
2852 Tamiami Trl Ste 1, Port Charlotte, FL 33952-5100 | |
| (941) 505-8720 | |
| (941) 505-8747 |
| Full Name | Graciela O Deboccardo |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 51 Years |
| Location | 2852 Tamiami Trl Ste 1, Port Charlotte, 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 |
|---|---|---|---|
| 1609892553 | NPI | - | NPPES |
| 01126618 | Medicaid | NY | |
| 0591181 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 134410 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Kidney Physicians Llc | 4385925650 | 153 |
| Entity Name | Florida Kidney Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760831564 PECOS PAC ID: 4385925650 Enrollment ID: O20161228000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Graciela O Deboccardo, MD 2852 Tamiami Trl Ste 1, Port Charlotte, FL 33952-5100 Ph: (941) 505-8720 | Graciela O Deboccardo, MD 2852 Tamiami Trl Ste 1, Port Charlotte, FL 33952-5100 Ph: (941) 505-8720 |
Jaideep Hingorani, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl, #101a, Port Charlotte, FL 33952 Phone: 941-629-4676 Fax: 941-629-1522 | |
Mr. Leo Lin Kao, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Anna Berenstein, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 941-391-5496 Fax: 941-875-9875 | |
Danielle Wright, APRN Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3420 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-629-2111 | |
Dr. Nikul Dilip Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Dr. Chitradeep De, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3028 Caring Way Unit 4, Port Charlotte, FL 33952 Phone: 941-212-2748 Fax: 941-328-8946 | |
Dr. Louis Damian, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl Ste 101a, Port Charlotte, FL 33952 Phone: 941-629-4676 |