Carl T Smedberg, MD | |
1350 S Hickory St, Dept. Of Pathology, Melbourne, FL 32901-3278 | |
(321) 434-7000 | |
(321) 434-5295 |
Full Name | Carl T Smedberg |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1350 S 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 |
---|---|---|---|
1861474850 | NPI | - | NPPES |
220030908 | Other | RAILROAD MEDICARE | |
052770000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZF0201X | Pathology - Forensic Pathology | ME01345 (Florida) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME01345 (Florida) | Primary |
Entity Name | Brevard Pathology Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982002473 PECOS PAC ID: 0941527485 Enrollment ID: O20150323001107 |
Mailing Address | Practice Location Address |
---|---|
Carl T Smedberg, MD Po Box 144333, Orlando, FL 32814-4333 Ph: (407) 422-9831 | Carl T Smedberg, MD 1350 S Hickory St, Dept. Of Pathology, Melbourne, FL 32901-3278 Ph: (321) 434-7000 |
Dr. Elizabeth Mae Fowler, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-7191 Fax: 321-434-5295 | |
German Sanchez-casis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 S Hickory St, Dept. Of Pathology, Melbourne, FL 32901 Phone: 321-434-7000 Fax: 321-434-5295 | |
Felipe Emilio Dominguez, Pathology Medicare: Medicare Enrolled Practice Location: 3030 Venture Ln, Ste. 108, Melbourne, FL 32934 Phone: 321-253-5197 Fax: 321-253-5199 | |
Dr. Nasreen Qazi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4470 Portage Trail, Melbourne, FL 32940 Phone: 321-243-3327 | |
Dr. Jose A Reilova, MD Pathology Medicare: Medicare Enrolled Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-956-2986 Fax: 321-956-9430 | |
Dr. George E Rippis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1335 Valentine St, Melbourne, FL 32901 Phone: 321-956-2986 Fax: 321-956-9430 | |
Aneal S. Masih, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Dept. Of Pathology, Melbourne, FL 32901 Phone: 321-434-7000 Fax: 321-434-5295 |