Department File Number : | M201781194 |
Claim Number : | 1023510-01 |
Date Submitted : | 8/22/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Meir | Gare | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5700 Lake Worth Rd Ste 204 | ||||
City | State | Zip Code | County | ||
Lake Worth | FL | 33463 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
773742 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME94220 | Surgery - Cardiovascular Disease |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
JFK MEDICAL CENTER | 100080 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/17/2012 | 1/22/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Non ST evevated MY Cardiac cath, stent placement | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Discharge scripts and instructions for follow up | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to provide appropriate discharge instructions regarding meds | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/11/2015 | 2015 CA 00287 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 1/27/2017 | ||||
Other Defendants Involved in this Claim | |||||
Pineiro MD, Nicolas Bowry MD, Riddhi dba Sheridan Emergency Physician Services of South Florida I Medical Specialists of the Palm Beaches Inc JFK Medical Center Limited Partnership dba JFK Medical Cente Columbia Palm Beaches GP LLC West Palm Beach Physician Group Inc Sheridan Healthcorp Inc dba Sheriadan Health care Inc dba Sheridan Emergency Physician Services | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Other | Dismissed | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $18,825 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,245 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 8/22/2017 7:56:21 AM | |||||||||
Reason for Change: | ALE UPDATE 8/22/2017 | |||||||||
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Does Dr. MEIR GARE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MEIR GARE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).