Dr Amanuel Ambaye Daniachew, MD | |
13055 Summerfield Square Dr, Riverview, FL 33578-7402 | |
(813) 741-2473 | |
(813) 672-6197 |
Full Name | Dr Amanuel Ambaye Daniachew |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 13055 Summerfield Square Dr, Riverview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396955134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0401X | Internal Medicine - Addiction Medicine | ME153168 (Florida) | Secondary |
208D00000X | General Practice | ME153168 (Florida) | Primary |
Entity Name | Summerfield Medical Clinic Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568780492 PECOS PAC ID: 8325231194 Enrollment ID: O20101025001171 |
Mailing Address | Practice Location Address |
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Dr Amanuel Ambaye Daniachew, MD 13055 Summerfield Square Dr, Riverview, FL 33578-7402 Ph: (813) 741-2473 | Dr Amanuel Ambaye Daniachew, MD 13055 Summerfield Square Dr, Riverview, FL 33578-7402 Ph: (813) 741-2473 |
Dr. Jaime R. Gierbolini, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10141 Big Bend Rd Ste 206, Riverview, FL 33578 Phone: 813-397-1274 Fax: 813-605-6003 | |
Kristina Mabel Nieves Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: 9088 Progress Blvd, Riverview, FL 33578 Phone: 813-444-0220 Fax: 813-367-1961 | |
Maria Aurora Campa Huergo, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2100 Fax: 813-741-2003 | |
Jorge Mario Gomez Bustamante, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 855-226-6633 | |
Dr. Enrique Jose De La Cruz Hernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 13045 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-672-1385 Fax: 813-672-8904 | |
Dr. Melissa Dawn Fickey, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-662-5919 Fax: 813-671-8374 | |
Raul Ernesto Ayala, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33569 Phone: 813-741-2100 Fax: 813-741-2003 |