MEDICARE: DR. SCOTT B ELSBREE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME47274	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00464571	OTHER	FL	RAIL ROAD MEDICARE
4	110207269	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	58486	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1548260086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT B ELSBREE M.D.

Provider Business Mailing Address
First Line	:	6270 LAKE OSPREY DR
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8425
Country	:	US
Telephone Number	:	941-342-1333
Fax Number	:	941-907-8206

Provider Business Practice Location Address
First Line	:	6270 LAKE OSPREY DR
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8425
Country	:	US
Telephone Number	:	941-342-1333
Fax Number	:	941-907-8206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/26/2014

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Directions to “ DR. SCOTT B ELSBREE M.D.” Practice Location

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