| Jason A Ravanzo, DO | |
|
300 Se Hospital Ave, Stuart, FL 34994-2338 | |
| (772) 223-5945 | |
| Not Available |
| Full Name | Jason A Ravanzo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 300 Se Hospital Ave, Stuart, 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 |
|---|---|---|---|
| 1356394399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS8319 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 445 |
| Mecnb Llc | 7911959341 | 16 |
| 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 | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Mecnb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427209352 PECOS PAC ID: 7911959341 Enrollment ID: O20050215000002 |
| Entity Name | Palm Bay Urgent Care Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891980389 PECOS PAC ID: 3870671753 Enrollment ID: O20080417000119 |
| Entity Name | Wrmcabns Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164967543 PECOS PAC ID: 9335419449 Enrollment ID: O20170724000905 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154962918 PECOS PAC ID: 7315833555 Enrollment ID: O20200717000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Ravanzo, DO 367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (561) 333-4000 | Jason A Ravanzo, DO 300 Se Hospital Ave, Stuart, FL 34994-2338 Ph: (772) 223-5945 |
Dr. Steven Donald Parr, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5995 | |
Sean David Dakshaw, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-287-5200 | |
David R. Melzer, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5945 | |
Lana Elder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Se Hospital Ave, Er Department, Stuart, FL 34994 Phone: 772-223-5995 | |
Dr. Allan Alberto Capin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S Kanner Hwy, Stuart, FL 34994 Phone: 786-325-5648 | |
Roger Julian Nicosia Jr., D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Se Monterey Rd, Stuart, FL 34994 Phone: 772-678-7043 Fax: 772-403-2379 |