| Jellinger & Lerman, Md, Llc | |
|
3107 Stirling Road Suite 300 Fort Lauderdale FL 33312 | |
| (954) 963-7100 | |
| (954) 337-2361 |
| Full Name | Jellinger & Lerman, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3107 Stirling Road, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Paul Stephen Jellinger (PRESIDENT) |
| Authorized Official Contact | 9549637100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jellinger & Lerman, Md, Llc 3107 Stirling Road Suite 300 Fort Lauderdale FL 33312 Ph: (954) 963-7100 | Jellinger & Lerman, Md, Llc 3107 Stirling Road Suite 300 Fort Lauderdale FL 33312 Ph: (954) 963-7100 |
| NPI Number | 1013946862 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 9234159369 |
|---|---|
| Medicare Enrollment ID | O20051202000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013946862 | NPI | - | NPPES |
| 14944 | Other | SAM LERMAN BC | |
| 14944B | Other | FL | MEDICARE PTAN |
| 93115 | Other | PAUL JELLINGER BC | |
| K9029 | Other | FL | MEDICARE PTAN |
| U0056W | Other | FL | MEDICARE PTAN |
| 93115B | Other | FL | MEDICARE PTAN |
| HR294Z | Other | FL | MEDICARE PTAN |
| Provider Name | Paul S Jellinger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811900665 PECOS PAC ID: 4587684618 Enrollment ID: I20051205000179 |
| Provider Name | Sam Lerman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932112661 PECOS PAC ID: 6406876531 Enrollment ID: I20051205000214 |
| Provider Name | Ikna M Krysiak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578749248 PECOS PAC ID: 6204025455 Enrollment ID: I20131008001466 |
| Provider Name | Mitchell M Jacobson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346254539 PECOS PAC ID: 7517934441 Enrollment ID: I20140130001193 |
| Provider Name | Ouri Atou Diarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799114 PECOS PAC ID: 8921413915 Enrollment ID: I20210225001862 |
| Provider Name | John William Mcdonald |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073928925 PECOS PAC ID: 4385004076 Enrollment ID: I20230712004577 |
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