| Mr Fabio Mariano Mehrgut, MD | |
|
16255 Sw 83rd Ln, Miami, FL 33193-5133 | |
| (786) 479-7878 | |
| (305) 246-5880 |
| Full Name | Mr Fabio Mariano Mehrgut |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 16255 Sw 83rd Ln, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174504690 | NPI | - | NPPES |
| 012072258 | Medicaid | NY | |
| 015562600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 168071 (New York) | Secondary |
| 208000000X | Pediatrics | ME122911 (Florida) | Primary |
| Entity Name | Social Advance Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093272296 PECOS PAC ID: 2466857305 Enrollment ID: O20210816003001 |
| Entity Name | Lake Worth Medical Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881220861 PECOS PAC ID: 7911376017 Enrollment ID: O20221213000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Fabio Mariano Mehrgut, MD 16255 Sw 83rd Lane, Miami, FL 33193 Ph: (786) 479-7878 | Mr Fabio Mariano Mehrgut, MD 16255 Sw 83rd Ln, Miami, FL 33193-5133 Ph: (786) 479-7878 |
Dr. Juanita Ann Marie Hunter, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6042 | |
Keerthana Reddy Banala, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave # 6006, Miami, FL 33136 Phone: 305-585-6017 Fax: 305-325-0293 | |
Dr. Maria Del Pilar Rivero, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 786-466-6908 Fax: 786-466-6920 | |
Stephanie Dechurch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw 87th Ave, C-350, Miami, FL 33173 Phone: 305-271-4711 Fax: 305-271-8732 | |
Gloria E Burgos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 Federal Hwy, Miami, FL 33137 Phone: 305-576-6611 Fax: 305-576-0008 | |
Dr. Teresita Fox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 561-624-9188 Fax: 561-514-7217 | |
Bridget Buzzella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-662-8357 |