Dr Christiaan Nikolaje Mamczak, DO | |
603 7th St S Ste 450, St Petersburg, FL 33701-4741 | |
(727) 527-5272 | |
(727) 522-7412 |
Full Name | Dr Christiaan Nikolaje Mamczak |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 21 Years |
Location | 603 7th St S Ste 450, St Petersburg, 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 |
---|---|---|---|
1912112384 | NPI | - | NPPES |
O5607 | Other | FL | MEDICARE |
113496800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 02004231A (Indiana) | Secondary |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 02004231A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
Baptist Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Medical Group Llc | 9638215734 | 221 |
Entity Name | Baptist Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376779892 PECOS PAC ID: 9638215734 Enrollment ID: O20091002000436 |
Mailing Address | Practice Location Address |
---|---|
Dr Christiaan Nikolaje Mamczak, DO 603 7th St S Ste 450, St Petersburg, FL 33701-4741 Ph: (727) 527-5272 | Dr Christiaan Nikolaje Mamczak, DO 603 7th St S Ste 450, St Petersburg, FL 33701-4741 Ph: (727) 527-5272 |
Dr. Anthony Stanek Albert, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N Ste N104, St Petersburg, FL 33709 Phone: 727-528-6100 Fax: 727-528-7895 | |
Joseph Robert Temperato, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 603 7th St S Ste 100, St Petersburg, FL 33701 Phone: 727-553-7431 Fax: 727-553-7432 | |
Mr. Clinton Bertrand Davis Ii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4600 4th Street North, St Petersburg, FL 33703 Phone: 727-527-5272 Fax: 727-522-7412 | |
Ryan Everett Fitzgerald, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 6th Ave S Ste 450, St Petersburg, FL 33701 Phone: 727-898-2663 Fax: 727-568-6836 | |
Lee Garrit Phillips, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 625 6th Ave S Ste 450, St Petersburg, FL 33701 Phone: 727-898-2663 Fax: 727-568-6836 | |
Mr. Brett R Bolhofner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S Ste 450, St Petersburg, FL 33701 Phone: 727-527-5272 Fax: 727-522-7412 | |
Dr. Thomas Nienke, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N Ste N-104, St Petersburg, FL 33709 Phone: 727-528-6100 Fax: 727-528-7895 |