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Physician Compare National (NPI:1528129988)

HEALTHCARE PROVIDER: TOM MACEK MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1528129988
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1153413315
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070817000613
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MACEK
Individual professional last name
Provider First Name TOM
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2000
Individual professional's medical school graduation year
Primary Specialty ANESTHESIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERVENTIONAL PAIN MANAGEMENT
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PAIN MANAGEMENT
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name M PARTNERS, LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0446432710
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9400 BONITA BEACH RD SE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201
Group Practice or individual's line 2 address
City BONITA SPRINGS
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 341354520
Group Practice or individual's zip code (9 digits when available)
Phone Number 2396907791
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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