| 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 |
| Location | 2500 Harbor Blvd, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| 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: Not Enrolled in Medicare Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 |
Dr. Richard E Vasquez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 |
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 |