| Jere Mammino, DO | |
|
1410 W Broadway St Ste 102, Oviedo, FL 32765-6537 | |
| (407) 359-2100 | |
| (407) 359-5445 |
| Full Name | Jere Mammino |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 44 Years |
| Location | 1410 W Broadway St Ste 102, Oviedo, 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 |
|---|---|---|---|
| 1336259886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OS6033 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leavitt Medical Associates Of Florida Inc | 4688579311 | 174 |
| Entity Name | Leavitt Medical Associates Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Jere Mammino, DO 2600 Lake Lucien Dr Ste 180, Maitland, FL 32751-7235 Ph: (407) 875-2080 | Jere Mammino, DO 1410 W Broadway St Ste 102, Oviedo, FL 32765-6537 Ph: (407) 359-2100 |
Alicia Nunez, APRN Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Broadway St Ste 206, Oviedo, FL 32765 Phone: 407-542-0100 Fax: 407-992-7701 | |
Jason D. Kieffer, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1410 W Broadway St Ste 205, Oviedo, FL 32765 Phone: 866-400-3376 Fax: 407-359-5445 | |
Jeffrey Glenn Moskowitz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Broadway St, Suite 206, Oviedo, FL 32765 Phone: 407-581-2888 Fax: 407-992-7701 | |
Bianca Moon, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1486 Swanson Dr, Oviedo, FL 32765 Phone: 407-853-8575 | |
Dr. Richard G Levine, MD, FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765 Phone: 407-706-1770 | |
Amanda Courtni Hulce, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765 Phone: 407-706-1770 Fax: 407-706-1777 |