| Jack Guevara, DO | |
|
160 Nw 170th St, North Miami Beach, FL 33169-5576 | |
| (305) 651-1100 | |
| Not Available |
| Full Name | Jack Guevara |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 160 Nw 170th St, North Miami Beach, 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 |
|---|---|---|---|
| 1316392707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS17043 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Pembroke | Pembroke pines, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 849 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Guevara, DO 1000 W. Carson St. Box 461, Harbor-ucla Medical Center, Torrance, CA 90509 Ph: (310) 222-2700 | Jack Guevara, DO 160 Nw 170th St, North Miami Beach, FL 33169-5576 Ph: (305) 651-1100 |
Ricardo Israel Gerenstein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1031 Ives Dairy Rd Ste 228, North Miami Beach, FL 33179 Phone: 305-467-6101 Fax: 786-228-4644 | |
Sarita Sharma, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 954-838-2588 Fax: 954-851-1758 | |
Mr. Moheb Micheal Mosa, MBCHB MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-651-1100 |