| Alliance Medical Associates, Inc. | |
|
1800 Se 17th Street Bld 800 Ocala FL 34471 | |
| (352) 622-7268 | |
| (352) 622-6045 |
| Full Name | Alliance Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Se 17th Street, Ocala, Florida |
| Authorized Official Name and Position | Tammy Lynn Bossio (BILLING COORDINATOR) |
| Authorized Official Contact | 3526227268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Associates, Inc. 1800 Se 17th St Bldg 800 Ocala FL 34471-4191 Ph: (352) 622-7268 | Alliance Medical Associates, Inc. 1800 Se 17th Street Bld 800 Ocala FL 34471 Ph: (352) 622-7268 |
| NPI Number | 1174577175 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 03/08/2013 |
| Medicare PECOS PAC ID | 3072700624 |
|---|---|
| Medicare Enrollment ID | O20101208000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174577175 | NPI | - | NPPES |
| 270788800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anwar A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268578 PECOS PAC ID: 0143417790 Enrollment ID: I20101208000370 |
| Provider Name | Jessie D Te |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154388932 PECOS PAC ID: 8224225875 Enrollment ID: I20101208000414 |
| Provider Name | Myeong W Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871547802 PECOS PAC ID: 5698962249 Enrollment ID: I20101208000438 |
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