| Mary Rose Boehm Md Pa | |
|
200 E Highland Ave Suite #2 Clermont FL 34711-2582 | |
| (352) 242-1430 | |
| (352) 242-1452 |
| Full Name | Mary Rose Boehm Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 E Highland Ave, Clermont, Florida |
| Authorized Official Name and Position | Mary Rose Boehm (PRESIDENT) |
| Authorized Official Contact | 3522421430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rose Boehm Md Pa 614 E Highway 50 Box 304 Clermont FL 34711-3164 Ph: (352) 242-1430 | Mary Rose Boehm Md Pa 200 E Highland Ave Suite #2 Clermont FL 34711-2582 Ph: (352) 242-1430 |
| NPI Number | 1053402156 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3971594771 |
|---|---|
| Medicare Enrollment ID | O20040520000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053402156 | NPI | - | NPPES |
| 7042549 | Other | FL | AETNA |
| 81213 | Other | FL | BLUE CROSS/BLUE SCHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 88288 (Florida) | Primary |
| Provider Name | Mary Rose Boehm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770674715 PECOS PAC ID: 6406847201 Enrollment ID: I20040521000148 |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-404-8108 Fax: 352-404-8647 | |
Florida Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Citrus Tower Blvd, Suite 206, Clermont, FL 34711 Phone: 352-242-9600 Fax: 352-242-9605 | |
Compassionate Health Of Clermont Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9350 Us Highway 192 Ste 104, Clermont, FL 34714 Phone: 863-256-5206 Fax: 863-913-0534 | |
South Lake Primary Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 Sunrise Plaza Dr, Clermont, FL 34714 Phone: 352-243-3800 Fax: 352-243-3804 | |
Clermont Cardiac Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 E. State Road 50, Suite A, Clermont, FL 34711 Phone: 352-243-3517 | |
Transition Care Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 W Highway 50, Clermont, FL 34711 Phone: 352-394-5535 Fax: 352-394-5810 |