| Mortatha Al-bassam, MD | |
|
1431 Sw 1st Ave, Ocala, FL 34471-6500 | |
| (954) 319-4742 | |
| Not Available |
| Full Name | Mortatha Al-bassam |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1431 Sw 1st Ave, Ocala, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811525371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | V6850 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | ME158932 (Florida) | Primary |
| Entity Name | Phoenix Emergency Medicine Of Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132 |
| 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 |
|---|---|
| Mortatha Al-bassam, MD 1431 Sw 1st Ave, Ocala, FL 34471-6500 Ph: (352) 291-3000 | Mortatha Al-bassam, MD 1431 Sw 1st Ave, Ocala, FL 34471-6500 Ph: (954) 319-4742 |
Vir Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Sw 1st Ave, Bitzer Bldg, Suite 7, Ocala, FL 34471 Phone: 352-401-8323 Fax: 352-401-8313 | |
Jonathan Rebik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1417 | |
Domenica Marcantonio, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1000 | |
Dr. Valerie Maria Gironda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Sw 1st Ave, Ocala, FL 34471 Phone: 352-335-1720 | |
Mr. Michael Hughes, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1417 | |
Carlos Omar Lopez Ortiz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1431 Sw 1st Ave, Ocala, FL 34471 Phone: 352-401-1000 | |
Dr. Frank Theodore Cantrell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9521 Sw State Road 200, Ocala, FL 34481 Phone: 352-671-2599 |