Anatoly Nikolaev, MD | |
1000 36th St, Vero Beach, FL 32960-4862 | |
(772) 567-4311 | |
Not Available |
Full Name | Anatoly Nikolaev |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 8 Years |
Location | 1000 36th St, Vero Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689037202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME149210 (Florida) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD.36515 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Medical Center | Winfield, AL | Hospital |
D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
Fayette Medical Center | Fayette, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Physician Network, P.c. | 0840337721 | 24 |
Entity Name | Southeast Physician Network, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598090839 PECOS PAC ID: 0840337721 Enrollment ID: O20091026000423 |
Mailing Address | Practice Location Address |
---|---|
Anatoly Nikolaev, MD 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 Ph: (205) 345-8208 | Anatoly Nikolaev, MD 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 567-4311 |
Dr. Robert R Bisset, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Bernadette G Ramos-cardona, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Vero Radiology, Indian River, 3725 11th Cir, Vero Beach, FL 32960 Phone: 772-562-0163 | |
Joanne Wojick Wernicki, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1485 37th St, Suite 107, Vero Beach, FL 32960 Phone: 772-569-9745 Fax: 772-567-6868 | |
Dr. John James Holmes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3725 11th Cr, Vero Beach, FL 32960 Phone: 772-562-0163 Fax: 772-567-5631 | |
Raymond Sutkowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Dr. David M Tabriz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
James Joseph Norconk Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 7 Sailfish Rd, Vero Beach, FL 32960 Phone: 208-415-0524 Fax: 208-763-3644 |