| Jessica M Gielow, DO | |
|
521 W State Road 434 Ste 301, Longwood, FL 32750-5166 | |
| (407) 767-5808 | |
| (407) 767-5892 |
| Full Name | Jessica M Gielow |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 521 W State Road 434 Ste 301, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326369455 | NPI | - | NPPES |
| 014887400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OT013780 (Pennsylvania) | Secondary |
| 208600000X | Surgery | OS 13211 (Florida) | Primary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Osceola Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578723540 PECOS PAC ID: 0840366126 Enrollment ID: O20080910000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M Gielow, DO 521 W State Road 434 Ste 301, Longwood, FL 32750-5166 Ph: (407) 767-5808 | Jessica M Gielow, DO 521 W State Road 434 Ste 301, Longwood, FL 32750-5166 Ph: (407) 767-5808 |
Kristin L Wulff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 295 W Pine Ave, Longwood, FL 32750 Phone: 407-339-4499 Fax: 407-339-4903 | |
Natalee Genevieve Stone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Dr. Francisco Javier Couto, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Jon D Wiese, MD Surgery Medicare: Medicare Enrolled Practice Location: 521 W State Road 434, Suite 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 |