Dr Agnes Idicula, | |
10065 Cortez Blvd, Weeki Wachee, FL 34613-6389 | |
(352) 596-4660 | |
(352) 596-4674 |
Full Name | Dr Agnes Idicula |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 10065 Cortez Blvd, Weeki Wachee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568464824 | NPI | - | NPPES |
45554 | Other | FL | MEDICARE&BCBS GROUP # |
110213555 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME59607 (Florida) | Primary |
Entity Name | Idicula Medical Associates Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982781688 PECOS PAC ID: 0840290730 Enrollment ID: O20061227000081 |
Mailing Address | Practice Location Address |
---|---|
Dr Agnes Idicula, 10065 Cortez Blvd, Weeki Wachee, FL 34613-6389 Ph: (352) 596-4660 | Dr Agnes Idicula, 10065 Cortez Blvd, Weeki Wachee, FL 34613-6389 Ph: (352) 596-4660 |
Dr. Dhammika Ekanayake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10045 Cortez Blvd Ste 122, Weeki Wachee, FL 34613 Phone: 352-596-7580 Fax: 352-592-5286 | |
Dr. Gaurav Mathur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10065 Cortez Blvd, Weeki Wachee, FL 34613 Phone: 352-596-4660 Fax: 352-596-4674 | |
Durgarao Venkata Parimi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10065 Cortez Blvd, Weeki Wachee, FL 34613 Phone: 352-596-4660 Fax: 352-596-4674 | |
Dr. Roger B Lee, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8562 Delaware Dr, Weeki Wachee, FL 34607 Phone: 352-650-2039 | |
Dr. Randolph Mendoza Nunag, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10222 Yale Ave, Weeki Wachee, FL 34613 Phone: 352-597-9797 Fax: 352-597-5556 | |
Georges Junior Joseph, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10065 Cortez Blvd, Weeki Wachee, FL 34613 Phone: 352-596-4660 Fax: 352-596-4674 |