Jacek Robert Wecowski (NPI# 1962758938, PAC ID# 5799087011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1962758938 |
| PAC ID by PECOS | 5799087011 |
| Professional Enrollment ID | I20191121000760 |
| Full Name | Jacek Robert Wecowski |
| Organization Legal Name | OCALA HEALTH SURGICAL GROUP LLC |
| Address |
1500 Se Magnolia Extension Suite 205 Ocala FL 34471-4461 |
| Phone Number | 3526291800 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4082787130 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100212 | MARION COMMUNTIY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 Se Magnolia Extension, Suite 205, Ocala, FL 34471-4461 | 3526291800 | OCALA HEALTH SURGICAL GROUP LLC |
| Organization Legal Name | OCALA HEALTH SURGICAL GROUP LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi Botsch | Physician Assistant | Ocala Health Surgical Group LLC | 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 |
| John Terrill Main | Neurosurgery | Ocala Health Surgical Group LLC | 1725 Se 28th Loop, Ocala, FL 34471-5323 |
| David Brandon Burtis | Neurology | Ocala Health Surgical Group LLC | 1121 Nw 64th Terrace, Suite A, Gainesville, FL 32605-4256 |
| Edgardo Cruz Martinez | Neurology | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Suite 205, Ocala, FL 34471-4461 |
| Alberto J Gonzalez | Vascular Surgery | Ocala Health Surgical Group LLC | 1500 Se Magnolia Ext, Suite 204, Ocala, FL 34471-4461 |
| Jay M Walker | Physician Assistant | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Ocala, FL 34471-4461 |
| Angel Miguel Caban | General Surgery | Ocala Health Surgical Group LLC | 121 Lagrande Blvd, Suite B, The Villages, FL 32159-1340 |
| Omeni N Osian | Thoracic Surgery | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Suite 203, Ocala, FL 34471-4461 |
| Aldo Perez Iii | Nurse Practitioner | Ocala Health Surgical Group LLC | 1725 Se 28th Loop, Ocala, FL 34471-5323 |
| Sagun K Tuli | Neurosurgery | Ocala Health Surgical Group LLC | 1234 Se Magnolia Ext, Unit 1, Ocala, FL 34471-3778 |
| Street Address |
1500 SE MAGNOLIA EXTENSION SUITE 205 |
| City | OCALA |
| State | FL |
| Zip | 34471-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgardo Cruz Martinez | Neurology | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Suite 205, Ocala, FL 34471-4461 |
| Jay M Walker | Physician Assistant | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Ocala, FL 34471-4461 |
| Omeni N Osian | Thoracic Surgery | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Suite 203, Ocala, FL 34471-4461 |
| Bryan Stephen Bush | Thoracic Surgery | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Suite 203, Ocala, FL 34471-4461 |
| Priscilla F Marques | Physician Assistant | Ocala Health Surgical Group LLC | 1500 Se Magnolia Extension, Ocala, FL 34471-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall D. Bryant | Chiropractic | 1315 Se 24th Loop, Ocala, FL 34471 | |
| Segismundo Pares | Family Medicine | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Robert Zylis | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Anna C Woodward | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Gentana T Lewis | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Mee Ah J Buckley | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Jennifer J Zylis | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Kendall K Mora | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Stephanie E Nunes | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Shannon R Kratzberg | Nurse Practitioner | Lifeforce Healthcare, LLC | 4460 Sw 20th Ave, Ocala, FL 34471-0163 |
| Find all physicians in zip 34471 | |||
| City | OCALA |
| Zip Code | 34471 |
| Specialty | GENERAL SURGERY |
| City + Specialty | OCALA + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.