| Richard Fairfax Pell Iv, MD | |
|
925 Ne 30th Ter, Suite 102, Homestead, FL 33033-7613 | |
| (305) 247-1701 | |
| (305) 247-1799 |
| Full Name | Richard Fairfax Pell Iv |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 925 Ne 30th Ter, Homestead, 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 |
|---|---|---|---|
| 1891770194 | NPI | - | NPPES |
| 277567100 | Medicaid | FL | |
| 305551 | Other | FL | AVMED |
| 92026 | Other | FL | BCBS |
| SG082540 | Other | VISTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME96926 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Homestead Hospital | Homestead, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehabclinics Pta Inc | 0547237497 | 133 |
| Ortho Florida Llc | 3274616453 | 105 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Ortho Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821113192 PECOS PAC ID: 3274616453 Enrollment ID: O20080211000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Fairfax Pell Iv, MD 925 Ne 30th Ter, Suite 102, Homestead, FL 33033-7613 Ph: (305) 247-1701 | Richard Fairfax Pell Iv, MD 925 Ne 30th Ter, Suite 102, Homestead, FL 33033-7613 Ph: (305) 247-1701 |
Alexandr Aylyarov, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 975 Baptist Way, Homestead, FL 33033 Phone: 786-243-8660 | |
Richard S Glosser, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 143 N Flagler Ave, Homestead, FL 33030 Phone: 305-248-6311 Fax: 305-242-5559 | |
Joseph Ovadia, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Ne 15th Street, Suite 102, Homestead, FL 33030 Phone: 305-245-3599 Fax: 305-245-3593 | |
Theodore Alfred Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 925 Ne 30th Ter, Suite 102, Homestead, FL 33033 Phone: 305-247-1701 Fax: 305-247-1799 |