Mr Earle M Pescatore Jr, DO | |
2021 E Commercial Blvd, Suite 305, Ft Lauderdale, FL 33308-3763 | |
(954) 734-1298 | |
Not Available |
Full Name | Mr Earle M Pescatore Jr |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 35 Years |
Location | 2021 E Commercial Blvd, Ft 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 |
---|---|---|---|
1336147693 | NPI | - | NPPES |
101552 | Other | IL | HEALTH ALLIANCE |
036102614-2 | Medicaid | IL | |
IL0100 | Other | IL | JOHN DEERE |
10123243 | Other | IL | BLUE CROSS BLUE SHIELD |
0369102614 | Medicaid | IL | |
7648181 | Other | IL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036102614 (Illinois) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | OS11075 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne County Hospital | Corydon, IA | Hospital |
Decatur County Hospital | Leon, IA | Hospital |
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wayne County Hospital | 4082508734 | 24 |
Entity Name | Decatur County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144209255 PECOS PAC ID: 9739085754 Enrollment ID: O20031210000758 |
Entity Name | Wayne County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174599468 PECOS PAC ID: 4082508734 Enrollment ID: O20040212000233 |
Mailing Address | Practice Location Address |
---|---|
Mr Earle M Pescatore Jr, DO 2021 E Commercial Blvd, Suite 305, Ft Lauderdale, FL 33308-3763 Ph: (954) 734-1298 | Mr Earle M Pescatore Jr, DO 2021 E Commercial Blvd, Suite 305, Ft Lauderdale, FL 33308-3763 Ph: (954) 734-1298 |
Ghea Adeboyejo, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4701 N Federal Hwy, Bldg B, Ft Lauderdale, FL 33308 Phone: 954-229-6000 Fax: 954-771-6882 | |
Miguel Angel Gonzalez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Se 16th St, Ft Lauderdale, FL 33316 Phone: 954-523-8108 Fax: 954-525-9828 | |
Dr. Steven M. Scott, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Phoenix Emergency Medicine Of Broward, Llc, Ft Lauderdale, FL 33316 Phone: 954-355-5110 | |
Dr. Trudi Fahey, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1625 Se 3rd Ave, Suite 701, Ft Lauderdale, FL 33316 Phone: 954-355-4390 | |
Minda Neimark, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 N Federal Hwy, Suite 402, Ft Lauderdale, FL 33308 Phone: 954-771-8888 Fax: 954-491-9485 | |
Dr. Bertram E. Walls, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Phoenix Obstetrics/gynecology, Llc, Ft Lauderdale, FL 33316 Phone: 954-355-5110 Fax: 954-355-4919 |