Charles K Wanich, MD | |
245 S Courtenay Parkway, Bldg B, Merritt Island, FL 32952 | |
(321) 453-5326 | |
(321) 452-8507 |
Full Name | Charles K Wanich |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 52 Years |
Location | 245 S Courtenay Parkway, Merritt Island, 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 |
---|---|---|---|
1376642355 | NPI | - | NPPES |
110202974 | Other | RR MEDICARE | |
039647800 | Medicaid | FL | |
2168973 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | ME36933 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rai-s Courtenay-merritt Island | Merritt island, FL | Dialysis facility |
Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brevard Nephrology Group Pa | 3779554985 | 5 |
Entity Name | Brevard Nephrology Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003029786 PECOS PAC ID: 3779554985 Enrollment ID: O20040803000064 |
Mailing Address | Practice Location Address |
---|---|
Charles K Wanich, MD 245 S Courtenay Parkway, Bldg B, Merritt Island, FL 32952 Ph: (321) 453-5326 | Charles K Wanich, MD 245 S Courtenay Parkway, Bldg B, Merritt Island, FL 32952 Ph: (321) 453-5326 |
Ria Melina Cabanero, MD Nephrology Medicare: Medicare Enrolled Practice Location: 220 N Sykes Creek Pkwy Ste 301, Merritt Island, FL 32953 Phone: 321-361-5535 Fax: 321-361-5543 | |
Dr. Firas R Muwalla, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 225 Cone Rd, Merritt Island, FL 32952 Phone: 321-453-1361 Fax: 321-452-4939 | |
Diane Luciani, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1395 N Courtenay Pkwy, Suite 107, Merritt Island, FL 32953 Phone: 321-455-1955 Fax: 321-454-2406 | |
Dr. Roderick Henry Salach, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 40 Fortenberry Road, Merritt Island, FL 32952 Phone: 321-453-0779 Fax: 321-453-4188 | |
Dr. Lani Mei Fong, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 220 N Sykes Creek Pkwy Ste 301, Merritt Island, FL 32953 Phone: 321-361-5673 | |
San Htut Thiha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016 Fax: 321-452-5728 | |
Dr. Bruce Mcneil Milburn, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 375 S Courtenay Pkwy, #3, Merritt Island, FL 32952 Phone: 321-453-8770 |