| Lisa M Jardine, MD | |
|
450 E Central Ave, Winter Haven, FL 33880-3050 | |
| (863) 294-0670 | |
| (863) 298-3200 |
| Full Name | Lisa M Jardine |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 450 E Central Ave, Winter Haven, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881662153 | NPI | - | NPPES |
| 160044555 | Other | FL | MEDICARE ID/RRM PIN |
| 255262100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME76581 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Gessler Clinic Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154399533 PECOS PAC ID: 3476545484 Enrollment ID: O20040331000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Jardine, MD 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Lisa M Jardine, MD 450 E Central Ave, Winter Haven, FL 33880-3050 Ph: (863) 294-0670 |
Kimberly Fryer Segro, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Avenue O Se, Winter Haven, FL 33880 Phone: 863-294-7010 | |
Dr. Maria Isabel Martino-villanueva, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-298-3204 Fax: 863-298-3200 | |
Eva J Salamon, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191 Fax: 863-293-3635 | |
Edna Pierre-louis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 450 E Central Ave, Winter Haven, FL 33880 Phone: 863-294-0670 Fax: 863-298-3200 | |
Dr. Kelsey Porter, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 101 Avenue O Se, Winter Haven, FL 33880 Phone: 863-294-7010 | |
Maegan Lubbers, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 Avenue O Se, Winter Haven, FL 33880 Phone: 407-840-8750 Fax: 407-649-4314 | |
Dr. Herbert W. Acken, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 116 Bates Ave Sw, Winter Haven, FL 33880 Phone: 863-299-7704 Fax: 863-297-9772 |