| 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 | Internal Medicine - Nephrology |
| Location | 2852 Tamiami Trl Ste 1, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588937064 PECOS PAC ID: 2264691070 Enrollment ID: O20120718000559 |
| 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 | |
Velamakanni Krishnamurty, MD Nephrology Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd, Suite 110, Port Charlotte, FL 33980 Phone: 941-629-7092 Fax: 941-629-1111 |