Christine M Cicco-brown, DO | |
11715 Rangeland Pkwy, Bradenton, FL 34211-9529 | |
(941) 538-0018 | |
(941) 538-0019 |
Full Name | Christine M Cicco-brown |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 29 Years |
Location | 11715 Rangeland Pkwy, Bradenton, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407899644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0123X | Otolaryngology - Facial Plastic Surgery | OS10183 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sarasota Memorial Hospital | Sarasota, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intercoastal Medical Group Inc | 6305730912 | 160 |
Entity Name | Intercoastal Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578537767 PECOS PAC ID: 6305730912 Enrollment ID: O20040212000600 |
Mailing Address | Practice Location Address |
---|---|
Christine M Cicco-brown, DO 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 Ph: (941) 538-0018 | Christine M Cicco-brown, DO 11715 Rangeland Pkwy, Bradenton, FL 34211-9529 Ph: (941) 538-0018 |
Samantha Elizabeth Frank, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 701 Manatee Ave W Ste 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Bruce P Dorman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 311 Manatee Ave E, Bradenton, FL 34208 Phone: 941-714-0276 Fax: 941-714-0294 | |
Benjamin Michael Kelley, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W Ste 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
John C Shelton, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Brian K Hoban, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 Manatee Ave W, Suite 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-746-4554 | |
Dr. Walter Eric Loch, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 701 Manatee Ave W, Suite 202, Bradenton, FL 34205 Phone: 941-748-2455 Fax: 941-750-9704 |