| Mr Mark C Donnelly, DO | |
|
2211 Lithia Center Ln, Valrico, FL 33596-5676 | |
| (813) 660-7100 | |
| Not Available |
| Full Name | Mr Mark C Donnelly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 2211 Lithia Center Ln, Valrico, 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 |
|---|---|---|---|
| 1013394576 | NPI | - | NPPES |
| 1013394576 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO2397 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | OS19518 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Tampa General Medical Group Inc | 7416253828 | 279 |
| Entity Name | Tampa General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark C Donnelly, DO Po Box 1289, Tampa, FL 33601-1289 Ph: (813) 660-7100 | Mr Mark C Donnelly, DO 2211 Lithia Center Ln, Valrico, FL 33596-5676 Ph: (813) 660-7100 |
John A Rog, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123 Fax: 813-662-9422 | |
Dr. Dyan Jenelle Harvey-dent, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4325 Lynx Paw Trl, Valrico, FL 33594 Phone: 813-684-9600 Fax: 813-662-9777 | |
Michelle L Judah, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2237 Lithia Center Ln, Valrico, FL 33596 Phone: 813-662-0123 | |
Unnati Patel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096 | |
Aishwarya Potdar Daniels, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-655-8096 Fax: 813-684-1610 | |
Tessa Ehlers Wigger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Bloomingdale Ave Ste 260, Valrico, FL 33596 Phone: 813-725-7220 Fax: 813-725-7221 |