| Mark Prebonich, MD | |
|
2343 Aaron St, Port Charlotte, FL 33952-5305 | |
| (941) 629-2900 | |
| (855) 808-2036 |
| Full Name | Mark Prebonich |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 2343 Aaron St, 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 |
|---|---|---|---|
| 1912094442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40109 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | ME162650 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Millennium Home Care Llc | Port charlotte, FL | Home health agency |
| Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
| 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 |
|---|---|
| Mark Prebonich, MD 2675 Winkler Ave # 2nd, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Mark Prebonich, MD 2343 Aaron St, Port Charlotte, FL 33952-5305 Ph: (941) 629-2900 |
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 | |
Dr. Louis Damian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Tamiami Trl Ste 101a, Port Charlotte, FL 33952 Phone: 941-629-4676 |