Dr Charley T Myrick Iii, D O | |
2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | |
(863) 688-2334 | |
(863) 577-0299 |
Full Name | Dr Charley T Myrick Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 2125 Crystal Grove Dr, Lakeland, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457342727 | NPI | - | NPPES |
71825 | Other | FL | BCBS |
266992700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | OS8935 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winter Haven Hospital | Winter haven, FL | Hospital |
Lakeland Regional Medical Center | Lakeland, FL | Hospital |
Manatee Memorial Hospital | Bradenton, FL | Hospital |
Adventhealth Heart Of Florida | Davenport, FL | Hospital |
Lakewood Ranch Medical Center | Bradenton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology And Imaging Specialists Of Lakeland | 2264422294 | 58 |
Baycare Outpatient Imaging Llc | 3577804087 | 73 |
Entity Name | Manatee Memorial Hospital L P |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789 |
Entity Name | Radiology & Imaging Specialists Of Lakeland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427049931 PECOS PAC ID: 2264422294 Enrollment ID: O20090306000484 |
Entity Name | Baycare Outpatient Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417423377 PECOS PAC ID: 3577804087 Enrollment ID: O20190410002311 |
Mailing Address | Practice Location Address |
---|---|
Dr Charley T Myrick Iii, D O 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 Ph: (863) 688-2334 | Dr Charley T Myrick Iii, D O 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 Ph: (863) 688-2334 |
Dr. Kevin James Sawyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Dr. Yelena Kozirovsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Michael Larone Campbell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Michael K Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2115 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 Fax: 863-577-0303 | |
Devashri Patel, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Alexander J Fernandez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Jaehoon Bang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |