Andrea Susana Rita Alonso Succar, | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(720) 298-0208 | |
Not Available |
Full Name | Andrea Susana Rita Alonso Succar |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1350 Hickory St, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215499801 | NPI | - | NPPES |
TH672 | Other | FL | MEDICARE HF |
123462400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35.146868 (Ohio) | Secondary |
207R00000X | Internal Medicine | ME168516 (Florida) | Secondary |
208M00000X | Hospitalist | ME168516 (Florida) | Primary |
Entity Name | North East Ohio Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
Mailing Address | Practice Location Address |
---|---|
Andrea Susana Rita Alonso Succar, 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 434-1771 | Andrea Susana Rita Alonso Succar, 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (720) 298-0208 |
Jharana Patel, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940 Phone: 321-255-4003 Fax: 321-255-2728 | |
Stephanie Prada, MD. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8745 N Wickham Rd, Melbourne, FL 32940 Phone: 321-434-9358 Fax: 321-434-9170 | |
Ellora Jalali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Edeck S Pierre, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Linh T Van, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Lloyd Bennett, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Rossana Guerrero Garcia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |