| Timothy O'hare, MD | |
|
1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901-3183 | |
| (321) 676-2353 | |
| (321) 951-9267 |
| Full Name | Timothy O'hare |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1344 S Apollo Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154307676 | NPI | - | NPPES |
| 15346 | Other | FL | BLUE CROSS BLUE SHIELD |
| 198914 | Other | FL | WELLCARE |
| 263645000 | Medicaid | FL | |
| 2862947 | Other | FL | AETNA |
| 040017000 | Other | FL | RAILROAD MEDICARE |
| 1356109001 | Other | FL | CIGNA |
| 7795340 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME84166 (Florida) | Primary |
| Entity Name | Space Coast Ear Nose And Throat Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790019735 PECOS PAC ID: 0547301392 Enrollment ID: O20091231000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy O'hare, MD 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901-3183 Ph: (321) 676-2353 | Timothy O'hare, MD 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901-3183 Ph: (321) 676-2353 |
Mr. Dean Richard Lindstrom Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1314 Pine St, Melbourne, FL 32901 Phone: 321-802-6697 Fax: 321-802-3158 | |
James T Go, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935 Phone: 321-421-7555 Fax: 321-421-7553 | |
Mr. James Peter Lacey, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-729-8079 Fax: 321-984-8483 | |
Daniel P Sullivan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 930 S Harbor City Blvd Ste 200, Melbourne, FL 32901 Phone: 321-674-9094 Fax: 321-674-9289 | |
Steven Ho, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 | |
Gisela L Wagner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Suite 1e, Melbourne, FL 32901 Phone: 321-312-3312 Fax: 321-984-8483 |