Courtney Nicole Mascoe, | |
700 6th St S, Family Care Center, St. Petersburg, FL 33701 | |
(727) 893-6116 | |
(727) 553-7340 |
Full Name | Courtney Nicole Mascoe |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 700 6th St S, St. Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861999088 | NPI | - | NPPES |
122985600 | Medicaid | FL | |
NOIV3 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME145880 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
---|---|
Courtney Nicole Mascoe, 700 6th St S, St Petersburg, FL 33701-4815 Ph: (727) 893-6116 | Courtney Nicole Mascoe, 700 6th St S, Family Care Center, St. Petersburg, FL 33701 Ph: (727) 893-6116 |
Robert Olin Chamberlin, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 700 Sixth Street South, Bayfront Family Health Center, St. Petersburg, FL 33701 Phone: 727-893-6917 Fax: 727-893-6978 | |
Antonio Jose Santos Roca, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Bayfront Health Hospital, St. Petersburg, FL 33701 Phone: 727-893-6917 | |
Dr. Nadia M Pile, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 Dr. Mlk Jr. Street N, St. Petersburg, FL 33704 Phone: 727-323-3838 Fax: 727-456-0751 |