| Michael Bolanos, MD | |
|
1625 Se 3rd Ave Ste 300, Fort Lauderdale, FL 33316-2521 | |
| (954) 355-4665 | |
| (954) 355-4881 |
| Full Name | Michael Bolanos |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 14 Years |
| Location | 1625 Se 3rd Ave Ste 300, Fort Lauderdale, 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 |
|---|---|---|---|
| 1063708600 | NPI | - | NPPES |
| Q01047319 | Other | FL | MEDICARE RR |
| UP666 | Other | FL | MEDICARE HF |
| 103651500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME139818 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Broward Health Medical Center | Fort lauderdale, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Broward Hospital District | 3577472422 | 154 |
| Entity Name | North Broward Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801581129 PECOS PAC ID: 3577472422 Enrollment ID: O20040405001860 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bolanos, MD 1608 Se 3rd Ave Fl 3, Fort Lauderdale, FL 33316-2564 Ph: (954) 355-4665 | Michael Bolanos, MD 1625 Se 3rd Ave Ste 300, Fort Lauderdale, FL 33316-2521 Ph: (954) 355-4665 |
Dr. Wael Z Tamim, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1625 Se 3rd Ave, Suite 723, Fort Lauderdale, FL 33316 Phone: 954-616-1916 Fax: 954-525-0808 | |
Dr. Henry Joseph Coleman, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 401 E Las Olas Blvd, Suite 130-153, Fort Lauderdale, FL 33301 Phone: 954-272-8425 | |
Dr. Alexander G Justicz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1625 Se 3rd Ave Ste 300, Fort Lauderdale, FL 33316 Phone: 954-355-4665 Fax: 954-355-4881 | |
Kenneth Herskowitz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316 Phone: 954-355-4665 Fax: 954-355-4881 | |
Eric Paul Kingsley, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312 Phone: 954-739-2273 |