| Evgeny Gorobtsov, | |
|
2600 Laurel Rd E, North Venice, FL 34275-3226 | |
| (941) 261-9000 | |
| Not Available |
| Full Name | Evgeny Gorobtsov |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2600 Laurel Rd E, North Venice, 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 |
|---|---|---|---|
| 1083363444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | APRN11018597 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Accountable Inpatient Medicine | 5597090274 | 41 |
| Entity Name | Accountable Inpatient Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659936870 PECOS PAC ID: 5597090274 Enrollment ID: O20190717003010 |
| Mailing Address | Practice Location Address |
|---|---|
| Evgeny Gorobtsov, 5996 Orchis Rd, Venice, FL 34293-6722 Ph: (269) 548-6961 | Evgeny Gorobtsov, 2600 Laurel Rd E, North Venice, FL 34275-3226 Ph: (941) 261-9000 |
Madelyn Rose Duty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Pinebrook Rd Ste 202, North Venice, FL 34275 Phone: 941-408-0500 Fax: 941-496-8558 | |
Crystal Pawula, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Pinebrook Rd Ste 202, North Venice, FL 34275 Phone: 941-408-0500 Fax: 941-496-8558 | |
Karisa M Young, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Ste 202, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Christie T Le, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Kolten Bush, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165 | |
Shonna Samantha Bates, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 200, North Venice, FL 34275 Phone: 941-261-0145 Fax: 941-261-0150 |