| Grant I Disick, MD | |
|
9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2231 | |
| (561) 487-5506 | |
| (561) 487-9261 |
| Full Name | Grant I Disick |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 9970 Central Park Blvd N, Boca Raton, 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 |
|---|---|---|---|
| 1639236797 | NPI | - | NPPES |
| P998495 | Other | FL | FREEDOM |
| P939616 | Other | FL | OPTIMUM |
| 11999 | Other | FL | DIMENSION |
| 58335 | Other | FL | BCBS |
| 973866 | Other | FL | WELLCARE |
| 9010497 | Other | FL | CIGNA |
| 1069247 | Other | FL | CAREPLUS |
| 7583920 | Other | FL | AETNA |
| 319558 | Other | FL | AVMED |
| 58335 | Other | FL | BLUE CROSS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME101748 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Boca Medical Center | Boca raton, FL | Hospital |
| Boca Raton Regional Hospital | Boca raton, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesiscare Usa Of Florida Llc | 9830082882 | 175 |
| Entity Name | Genesiscare Usa Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant I Disick, MD 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Grant I Disick, MD 9970 Central Park Blvd N, Suite 207, Boca Raton, FL 33428-2231 Ph: (561) 487-5506 |
Dr. Marc E Taub, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 701 Nw 13th St, Third Floor, Boca Raton, FL 33486 Phone: 561-955-5790 Fax: 561-955-5791 | |
David Schwartzwald, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 Clint Moore Rd, Suite 195, Boca Raton, FL 33487 Phone: 561-939-0700 Fax: 561-483-8706 | |
Dr. Jeffrey I Miller, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10 E Palmetto Park Rd, Boca Raton, FL 33432 Phone: 561-955-2330 | |
Dr. Ari D Silverstein, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Nw 13th St Fl 3, Boca Raton, FL 33486 Phone: 561-955-5790 Fax: 561-955-5791 | |
Dr. Mitchell K Rauch, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 670 Glades Road, Suite 200, Boca Raton, FL 33431 Phone: 561-391-6470 Fax: 561-394-2306 | |
Dr. Joseph V Copulsky, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 825 Meadows Rd, Ste 111, Boca Raton, FL 33486 Phone: 561-395-3900 Fax: 561-395-0069 |