Marcello A Borzatta, MD | |
2260 S Ferdon Blvd, Crestview, FL 32536-8457 | |
(850) 849-1642 | |
Not Available |
Full Name | Marcello A Borzatta |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 44 Years |
Location | 2260 S Ferdon Blvd, Crestview, 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 |
---|---|---|---|
1154368181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | A40479 (California) | Secondary |
2086S0129X | Surgery - Vascular Surgery | ME97723 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Okaloosa Medical Center | Crestview, FL | Hospital |
Twin Cities Hospital | Niceville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Okaloosa Clinic Corp | 0244205565 | 13 |
Entity Name | Okaloosa Cardiology P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144270240 PECOS PAC ID: 7315920899 Enrollment ID: O20040608000466 |
Entity Name | North Okaloosa Clinic Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
Mailing Address | Practice Location Address |
---|---|
Marcello A Borzatta, MD 2260 S Ferdon Blvd, Crestview, FL 32536-8457 Ph: (850) 849-1674 | Marcello A Borzatta, MD 2260 S Ferdon Blvd, Crestview, FL 32536-8457 Ph: (850) 849-1642 |
Dennis A Stewart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 369 N Main St, Crestview, FL 32536 Phone: 850-689-3123 Fax: 850-689-1633 | |
Thomas J Shaknovsky, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 214 Covell Rd, Crestview, FL 32539 Phone: 850-864-4005 | |
Dr. David Allen Herf, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-682-0409 Fax: 850-689-1696 |