| Neil M Niren, MD | |
|
1131 S Orange Ave, Orlando, FL 32806-1226 | |
| (941) 444-0011 | |
| (603) 952-3900 |
| Full Name | Neil M Niren |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1131 S Orange Ave, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508838061 | NPI | - | NPPES |
| 070012530 | Other | RAILROAD MEDICARE | |
| 0017134200 | Other | PA | INDEPENDENCE BLUE SHIELD |
| 0017113660003 | Medicaid | PA | |
| 101724 | Other | UPMC HEALTH PLAN | |
| 22133 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD025703E (Pennsylvania) | Secondary |
| 207N00000X | Dermatology | ME105156 (Florida) | Primary |
| Entity Name | Clearly Derm, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487947008 PECOS PAC ID: 2163694423 Enrollment ID: O20111010000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Neil M Niren, MD 1629 Royal Palm Way, Boca Raton, FL 33432-7439 Ph: (412) 401-8833 | Neil M Niren, MD 1131 S Orange Ave, Orlando, FL 32806-1226 Ph: (941) 444-0011 |
Dr. James Daniel Talley, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5201 Raymond St, Orlando, FL 32803 Phone: 407-629-1599 | |
Dr. John L Meisenheimer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7300 Sandlake Commons Blvd, Suite 105, Orlando, FL 32819 Phone: 407-352-2444 Fax: 407-363-2869 | |
John C Mavropoulos, M.D., M.P.H., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2121 S Hiawassee Rd Apt 4601, Orlando, FL 32835 Phone: 443-435-3517 | |
Nicole Patzelt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 801 N Orange Ave Ste 520, Orlando, FL 32801 Phone: 407-992-0660 Fax: 407-992-7702 | |
Dr. Patrick L Dominguez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 80 W Grant St Ste 117, Orlando, FL 32806 Phone: 866-400-3376 Fax: 407-770-0182 | |
Savina Aneja, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9368 Narcoossee Rd Ste 104, Orlando, FL 32827 Phone: 407-745-1966 Fax: 407-915-4571 | |
David A Weinstein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9975 Tavistock Lakes Blvd Ste 360, Orlando, FL 32827 Phone: 407-266-3627 Fax: 407-882-4799 |