Anne H Beressi, MD | |
1270 N Wickham Rd Ste 50, Melbourne, FL 32935-8939 | |
(321) 421-7588 | |
(321) 421-7590 |
Full Name | Anne H Beressi |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1270 N Wickham Rd Ste 50, 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 |
---|---|---|---|
1669559563 | NPI | - | NPPES |
265790000 | Medicaid | ME | |
022383300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 015919 (Maine) | Secondary |
208000000X | Pediatrics | ME100384 (Florida) | Primary |
Entity Name | The Nemours Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
---|---|
Anne H Beressi, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127 | Anne H Beressi, MD 1270 N Wickham Rd Ste 50, Melbourne, FL 32935-8939 Ph: (321) 421-7588 |
Dr. Hiep Le Nguyen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Robert E Leiba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Omar Dean Hudson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 1g, Melbourne, FL 32901 Phone: 321-723-0072 Fax: 321-952-0850 | |
Brenda Lis Figueras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Dr. Julio Daniel Vallette Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Melbourne, FL 32901 Phone: 321-434-7243 | |
Dr. Faris M. Al-mousily, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3021 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934 Phone: 321-275-5444 Fax: 321-275-3799 | |
Joshua Lee Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 407-975-0410 Fax: 407-975-0413 |