| Marc J Farraye, MD | |
|
2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | |
| (941) 766-4125 | |
| Not Available |
| Full Name | Marc J Farraye |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 2500 Harbor Blvd, Port Charlotte, 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 |
|---|---|---|---|
| 1245207950 | NPI | - | NPPES |
| 00905286B | Medicaid | GA | |
| 264217400 | Medicaid | FL | |
| 000905286C | Medicaid | GA | |
| 13736 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 049607 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | ME84425 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health Port Charlotte | Port charlotte, FL | Hospital |
| Englewood Community Hospital | Englewood, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ies Florida Pllc | 8921485004 | 20 |
| Entity Name | Venice Emergency Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558379057 PECOS PAC ID: 1355245986 Enrollment ID: O20031125000011 |
| Entity Name | Sheridan Emergency Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598748030 PECOS PAC ID: 5597665372 Enrollment ID: O20040109000169 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Lake Wales Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033480405 PECOS PAC ID: 8022270461 Enrollment ID: O20120502000079 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Entity Name | Ies Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc J Farraye, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4125 | Marc J Farraye, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4125 |
Dr. Robert Leyrer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 | |
Kevin J Desantis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1912 Kings Hwy Unit 700, Port Charlotte, FL 33980 Phone: 941-255-0032 Fax: 941-391-5213 | |
Dr. John Atiyeh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Raymond Allen James, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-627-6130 Fax: 941-627-6146 | |
Dr. Matthew Wiesinger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122 | |
Daniel O'leary, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 |