| Mr Jerry Martin Alstott, MD | |
|
8030 Saint James Way, Mount Dora, FL 32757-9134 | |
| (407) 908-0064 | |
| (352) 383-9319 |
| Full Name | Mr Jerry Martin Alstott |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 8030 Saint James Way, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467497271 | NPI | - | NPPES |
| 046349300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME0037307 (Florida) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | ME0037307 (Florida) | Primary |
| Entity Name | Omni Family Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063785095 PECOS PAC ID: 0547429094 Enrollment ID: O20120302000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Martin Alstott, MD 8030 Saint James Way, Mount Dora, FL 32757-9134 Ph: (407) 908-0064 | Mr Jerry Martin Alstott, MD 8030 Saint James Way, Mount Dora, FL 32757-9134 Ph: (407) 908-0064 |
Dr. Sam S Luk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17580 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-0608 | |
Sylvia Boloczko, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16860 Us Highway 441, Mount Dora, FL 32757 Phone: 352-432-8443 Fax: 844-388-6186 | |
Robert A Martello, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3619 Lake Center Dr, Mount Dora, FL 32757 Phone: 352-383-8222 | |
Dr. Ahrash Khajaei, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 19735 Us Highway 441 Fl 2, Mount Dora, FL 32757 Phone: 352-253-3251 | |
Dr. Ghulam Mustafa Anwar, M.D Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 18550 Us Highway 441, Mount Dora, FL 32757 Phone: 352-735-3755 Fax: 352-735-3151 | |
Kimberly T Jackson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St, #200, Mount Dora, FL 32757 Phone: 352-735-8231 | |
Dr. Scott Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 North, Fl-19, Mount Dora, FL 32757 Phone: 239-245-1698 |