| Bethesda Health Physician Group, Inc. | |
|
2815 S Seacrest Blvd Boynton Beach FL 33435-7969 | |
| (561) 737-7733 | |
| (561) 733-5912 |
| Full Name | Bethesda Health Physician Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 2815 S Seacrest Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Marcella Gravalese (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5619555155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethesda Health Physician Group, Inc. 2815 S Seacrest Blvd Boynton Beach FL 33435-7969 Ph: (561) 737-7733 | Bethesda Health Physician Group, Inc. 2815 S Seacrest Blvd Boynton Beach FL 33435-7969 Ph: (561) 737-7733 |
| NPI Number | 1699863936 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 04/18/2025 |
| Medicare PECOS PAC ID | 9830154863 |
|---|---|
| Medicare Enrollment ID | O20041201000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699863936 | NPI | - | NPPES |
| 119515300 | Medicaid | FL | |
| 2563126 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Aaron B Deutsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407061450 PECOS PAC ID: 8123112950 Enrollment ID: I20070924000466 |
| Provider Name | Melanie Melanie Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952660425 PECOS PAC ID: 4981988326 Enrollment ID: I20170301002571 |
| Provider Name | Santana St. Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144819277 PECOS PAC ID: 8921466061 Enrollment ID: I20230621002212 |
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