| Jason Mark Habeck, MD | |
|
13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | |
| (813) 978-9700 | |
| (813) 558-6187 |
| Full Name | Jason Mark Habeck |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 13020 N Telecom Pkwy, Temple Terrace, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861753485 | NPI | - | NPPES |
| WC162 | Other | FL | BCBS |
| JA244Z | Other | FL | MEDICARE |
| 020408900 | Medicaid | FL |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Mark Habeck, MD 123 Hospital Dr, Ste 1008, Watertown, WI 53098-3320 Ph: (920) 206-6500 | Jason Mark Habeck, MD 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 Ph: (813) 978-9700 |
Charles Cole Nofsinger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 | |
Dr. James Joseph Creighton Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 | |
Dr. Maksim Vaysman, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 | |
Mr. Stanley S Shama, DPM Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 232 Bullard Pkwy, Temple Terrace, FL 33617 Phone: 813-985-2811 Fax: 813-985-3045 | |
Kenneth Gustke, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6129 | |
John M Small, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 | |
Luke Arthur Lopas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 |