| Haren Bodepudi, MD | |
|
10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | |
| (772) 344-3811 | |
| (772) 344-3890 |
| Full Name | Haren Bodepudi |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 10 Years |
| Location | 10050 Sw Innovation Way Ste 102, Port St Lucie, 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 |
|---|---|---|---|
| 1518351410 | NPI | - | NPPES |
| 106666500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | ME145133 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 445 |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Haren Bodepudi, MD Po Box 9033, Stuart, FL 34995-9033 Ph: (772) 223-2832 | Haren Bodepudi, MD 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 Ph: (772) 344-3811 |
Dr. Steven M Langer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-2471 Fax: 772-335-2497 | |
Jay Kuchera, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10244 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-924-2527 Fax: 772-337-9034 | |
Dr. James Michael D'amato, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Melinda Leigh Ball, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 917-400-2513 | |
Ulises D Fernandez Miro, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Dr. Dakshinamurthy Singaravelu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 561-548-1272 Fax: 561-548-3699 | |
Daniel David Carlyle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100 |