| Premier Gastroenterology Pa | |
|
12102 Cortez Blvd Brooksville FL 34613-5514 | |
| (352) 597-4000 | |
| (352) 597-0550 |
| Full Name | Premier Gastroenterology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12102 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Muhammed-rodwan Ali Hiba (OWNER/CEO) |
| Authorized Official Contact | 3525974000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Gastroenterology Pa 12102 Cortez Blvd Brooksville FL 34613-5514 Ph: (352) 597-4000 | Premier Gastroenterology Pa 12102 Cortez Blvd Brooksville FL 34613-5514 Ph: (352) 597-4000 |
| NPI Number | 1235246240 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 8921042417 |
|---|---|
| Medicare Enrollment ID | O20050615000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235246240 | NPI | - | NPPES |
| 100016261 | Other | RAILROAD MEDICARE | |
| 2987121 | Other | UHC | |
| 360846358 | Other | FIRST HEALTH | |
| 2593473 | Other | GHI | |
| 7130182 | Other | AETNA | |
| 2119601215701 | Other | BEECH ST | |
| 1003105 | Other | HUMANA | |
| 2579162-0 | Medicaid | FL | |
| 49489 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME69833 (Florida) | Primary |
| Provider Name | Muhammed Rodwan A Hiba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194833392 PECOS PAC ID: 3971547464 Enrollment ID: I20050616000131 |
| Provider Name | Lydia Jo Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467513085 PECOS PAC ID: 5496755084 Enrollment ID: I20100617000230 |
| Provider Name | Christina Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710472998 PECOS PAC ID: 4183968985 Enrollment ID: I20181205002082 |
| Provider Name | Korin-marie Natarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750952644 PECOS PAC ID: 2961804232 Enrollment ID: I20210708002263 |
Always There Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Grove Rd, Brooksville, FL 34609 Phone: 727-523-0525 | |
Ridge Manor Family Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31158 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 | |
Hernando Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12900 Cortez Blvd, Ste 202, Brooksville, FL 34613 Phone: 352-597-8844 Fax: 352-597-8831 | |
Nautilus Health Care Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11371 Cortez Blvd Ste 134, Brooksville, FL 34613 Phone: 352-606-7182 Fax: 352-606-7482 | |
Tampa General Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17222 Hospital Blvd Ste 242, Brooksville, FL 34601 Phone: 352-544-6145 Fax: 352-688-9189 | |
Tampa General Hospital Hernando Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 352-796-5111 Fax: 352-544-5711 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31075 Cortez Blvd, Brooksville, FL 34602 Phone: 352-796-5303 Fax: 352-796-5304 |