| Jason L Gerboc, DO | |
|
1210 Waterman Way, Tavares, FL 32778-5229 | |
| (352) 343-2364 | |
| (352) 343-0548 |
| Full Name | Jason L Gerboc |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 1210 Waterman Way, Tavares, 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 |
|---|---|---|---|
| 1548374325 | NPI | - | NPPES |
| 2392880000 | Other | PA | KEYSTONE IBC |
| P00226465 | Other | PA | RAILROAD MEDICARE |
| 101228162 0002 | Medicaid | PA | |
| P01092454 | Other | PA | RAILROAD MEDICARE |
| 1012281620001 | Medicaid | PA | |
| 1724365 | Other | PA | HIGHMARK BLUE SHIELD |
| 8460478 | Other | PA | AETNA HMO |
| 1724365 | Other | PA | PERSONAL CHOICE |
| 8460478 | Other | PA | AETNA NON HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | OS012897 (Pennsylvania) | Secondary |
| 208800000X | Urology | OS12668 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason L Gerboc, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 | Jason L Gerboc, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 |
Dr. Michael Warren Fountain, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 | |
Randolph Gray Hunter, MD Urology Medicare: Medicare Enrolled Practice Location: 1934 Salk Ave, Tavares, FL 32778 Phone: 352-742-2201 | |
Dr. Allison Beth Boemer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 |