Diely Pichardo, MD | |
1430 S Pine St, Melbourne, FL 32901-3119 | |
(321) 952-0898 | |
(321) 722-1342 |
Full Name | Diely Pichardo |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 1430 S Pine 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 |
---|---|---|---|
1194701573 | NPI | - | NPPES |
287612 | Other | FL | WELLCARE |
3789162 | Other | FL | AETNA |
03411 | Other | FL | BLUE CROSS BLUE SHIELD |
6000828001 | Other | FL | CIGNA |
7653665 | Other | FL | AETNA |
272209700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | ME91834 (Florida) | Primary |
Entity Name | Cancer Care Centers Of Brevard Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467551762 PECOS PAC ID: 3274435102 Enrollment ID: O20040122000315 |
Mailing Address | Practice Location Address |
---|---|
Diely Pichardo, MD Po Box 534595, Atlanta, GA 30353-4595 Ph: (321) 255-2606 | Diely Pichardo, MD 1430 S Pine St, Melbourne, FL 32901-3119 Ph: (321) 952-0898 |
Dr. Nathan D Allison, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231 | |
Dr. Olga Dorjima Emgushov, MD,MPH Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Audrius J Bredikis, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 Fax: 321-956-2542 | |
Craig J Badolato, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1430 Pine St, Melbourne, FL 32901 Phone: 321-674-5050 Fax: 321-952-6296 | |
Dr. Timothy Orphanides, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2b, Melbourne, FL 32901 Phone: 321-549-0736 Fax: 321-952-2330 | |
Dr. Caleb Bert Long, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 250 N Wickham Rd, Melbourne, FL 32935 Phone: 321-338-1618 Fax: 321-433-2311 | |
Martin E Avalos, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231 |