| Marcy Jackovic, | |
|
17912 Toledo Blade Blvd Unit A, Port Charlotte, FL 33948-1125 | |
| (941) 766-1001 | |
| (941) 764-7116 |
| Full Name | Marcy Jackovic |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 17912 Toledo Blade Blvd Unit A, Port Charlotte, 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 |
|---|---|---|---|
| 1699744888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS19081 (Florida) | Primary |
| 207R00000X | Internal Medicine | 0S012093 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Millennium Home Care Llc | Port charlotte, FL | Home health agency |
| Aveanna Home Health | Sarasota, FL | Home health agency |
| Amedisys Home Health | Port charlotte, FL | Home health agency |
| Trilogy Home Healthcare | Sarasota, FL | Home health agency |
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Hca Florida Fawcett Hospital | Port charlotte, FL | Hospital |
| Desoto Memorial Hospital | Arcadia, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Millennium Physician Group Llc | 9830244433 | 976 |
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Entity Name | Millennium Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcy Jackovic, 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Marcy Jackovic, 17912 Toledo Blade Blvd Unit A, Port Charlotte, FL 33948-1125 Ph: (941) 766-1001 |
Jaideep Hingorani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl, #101a, Port Charlotte, FL 33952 Phone: 941-629-4676 Fax: 941-629-1522 |
Mr. Leo Lin Kao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 |
Anna Berenstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952 Phone: 941-391-5496 Fax: 941-875-9875 |
Danielle Wright, APRN Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3420 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-629-2111 |
Dr. Nikul Dilip Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 |
Dr. Chitradeep De, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Caring Way Unit 4, Port Charlotte, FL 33952 Phone: 941-212-2748 Fax: 941-328-8946 |
Velamakanni Krishnamurty, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd, Suite 110, Port Charlotte, FL 33980 Phone: 941-629-7092 Fax: 941-629-1111 |