| Thomas A Hawk, MD | |
|
2154 Duck Slough Blvd, Trinity, FL 34655-5073 | |
| (727) 937-6020 | |
| (866) 665-2702 |
| Full Name | Thomas A Hawk |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 2154 Duck Slough Blvd, Trinity, 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 |
|---|---|---|---|
| 1659334274 | NPI | - | NPPES |
| 100379620 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01039631 (Indiana) | Secondary |
| 207L00000X | Anesthesiology | ME110447 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Florida Anesthesiologists Llc | 3173711017 | 315 |
| Entity Name | Greater Florida Anesthesiologists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942519657 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Entity Name | Anesthesia Physician Solutions of South Florida, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Hawk, MD 2154 Duck Slough Blvd, Trinity, FL 34655-5073 Ph: (727) 937-6020 | Thomas A Hawk, MD 2154 Duck Slough Blvd, Trinity, FL 34655-5073 Ph: (727) 937-6020 |
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