Coastal Orthopaedics & Sports Medicine Center
A Medicare group practice based in Port Saint Lucie, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294728465), with 20 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294728465
- Also listed as
- Coastal Orthopaedics and Sports Medicine Center
- Provider type
- DME Supplier - Physician - Family Practice, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 3
- Group size
- 16 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100930074249 | FL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1245291988 |
| O20100930043970 | FL | DME Supplier - Physician - Family Practice | 1417271578 |
| O20040405000753 | FL | Part B Supplier - Clinic/Group Practice | 1245291988 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Orthopaedics & Sports Medicine Center
- Specialist
- Port Saint Lucie, FL
- NPI 1245291988
-
Coastal Orthopaedics & Sports Medicine Center
- Specialist
- Stuart, FL
- NPI 1417271578
Practice locations
- Port Saint Lucie, FL2
- Port St Lucie, FL1
- Stuart, FL1
Clinicians 20
Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (16).
-
Stacia Brink, PA-C
- Physician Assistant
- Port St Lucie, FL
- NPI 1770842452
-
Nadege Dervis, PT
- Physical Therapist
- Port St Lucie, FL
- NPI 1245351550
-
Blaze D Emerson, DO
- Orthopaedic Surgery of the Spine Physician
- Port St Lucie, FL
- NPI 1568987014
-
Martin Antony Fidelia, PA
- Physician Assistant
- Palm Bay, FL
- NPI 1427370469
-
Liana Garcia Chipi, FNP-C
- Family Nurse Practitioner
- Vero Beach, FL
- NPI 1699481192
-
Erin Amanda Gerlica, PA-C
- Physician Assistant
- Port St Lucie, FL
- NPI 1366247868
-
Drew Joseph Iman, D.O.
- Adult Reconstructive Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1376956631
-
Jeffrey J Lazarus, M.D.
- Orthopaedic Surgery Physician
- Port St Lucie, FL
- NPI 1104874072
-
Kelli Lugo, P.A.
- Surgical Physician Assistant
- Port St Lucie, FL
- NPI 1245248426
-
Roberto Lugo, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Port St Lucie, FL
- NPI 1578687737
-
Lilian Daniela Mairena, PA
- Physician Assistant
- Port St Lucie, FL
- NPI 1114748548
-
Michael McMeekin
- Physician Assistant
- Palm Harbor, FL
- NPI 1811550395
-
Paul J Mondo, MD
- Orthopaedic Surgery Physician
- Port St Lucie, FL
- NPI 1720070691
-
Alexis Monique Pope
- Orthopedic Physical Therapist
- Stuart, FL
- NPI 1255998415
-
Antonio Poto Jr., DO
- Pain Medicine (Anesthesiology) Physician
- Port St Lucie, FL
- NPI 1982875621
-
Deanna Presti, PT
- Orthopedic Physical Therapist
- Port St Lucie, FL
- NPI 1952674061
-
Edward Jesus Rossario Jr., MD
- Orthopaedic Surgery Physician
- Port Saint Lucie, FL
- NPI 1235190091
-
Josh Sebag
- Foot & Ankle Surgery Podiatrist
- Port St Lucie, FL
- NPI 1881127348
-
Gerald Charles Shute, MD
- Orthopaedic Surgery Physician
- Port Saint Lucie, FL
- NPI 1700847431
-
Aron M Trocchia, MD
- Orthopaedic Hand Surgery Physician
- Port St Lucie, FL
- NPI 1811103112
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.