| Patrick Thomas Ottuso, M D F A A D | |
|
1955 22nd Ave, Vero Beach, FL 32960-3083 | |
| (772) 299-0085 | |
| (772) 978-4193 |
| Full Name | Patrick Thomas Ottuso |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1955 22nd Ave, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386627867 | NPI | - | NPPES |
| 070015813 | Other | FL | RR MEDICARE |
| 9614490 | Other | FL | GHI |
| 18397 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | ME62353 (Florida) | Primary |
| Entity Name | Leavitt Medical Associates Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Thomas Ottuso, M D F A A D 1955 22nd Ave, Vero Beach, FL 32960-3083 Ph: (772) 299-0085 | Patrick Thomas Ottuso, M D F A A D 1955 22nd Ave, Vero Beach, FL 32960-3083 Ph: (772) 299-0085 |
Dr. Donald Proctor, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1325 36th St, Suite A, Vero Beach, FL 32960 Phone: 772-567-1164 Fax: 772-770-0799 | |
John W Mcdonald, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1770 37th St, Vero Beach, FL 32960 Phone: 772-562-2929 Fax: 772-562-2949 | |
Dr. Sean Mcgregor, D.O.; PHARM.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1155 35th Ln Ste 202, Vero Beach, FL 32960 Phone: 772-770-6871 | |
Dr. Elise Weinrich Geary, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1955 22nd Ave, Vero Beach Dermatology, Vero Beach, FL 32960 Phone: 772-299-0085 Fax: 772-978-4193 | |
Mr. Jonathan Sanders, MD JD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln, Suite 202, Vero Beach, FL 32960 Phone: 772-778-7782 Fax: 772-778-7879 | |
Monika Srivastava, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 36th St Ste B, Vero Beach, FL 32960 Phone: 772-567-1164 Fax: 772-567-1501 |