Dr Edward Stephen Kris, MD | |
2800 S Seacrest Blvd, Suite 150, Boynton Beach, FL 33435-7961 | |
(561) 734-1888 | |
Not Available |
Full Name | Dr Edward Stephen Kris |
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Gender | Male |
Speciality | Pediatrics |
Location | 2800 S Seacrest Blvd, Boynton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619943669 | NPI | - | NPPES |
186635 | Other | FL | AMERIGROUP |
42547 | Other | FL | BLUE CROSS BLUE SHIELD |
266397000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME71114 (Florida) | Primary |
Entity Name | Vitalmd Group Holding Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Stephen Kris, MD 2800 S Seacrest Blvd, Suite 150, Boynton Beach, FL 33435-7961 Ph: (561) 734-1888 | Dr Edward Stephen Kris, MD 2800 S Seacrest Blvd, Suite 150, Boynton Beach, FL 33435-7961 Ph: (561) 734-1888 |
Mrs. Deborah R. Nuessly, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437 Phone: 561-509-5009 Fax: 561-738-0556 | |
Dr. Erin Nicolle Connelly Brown, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 379 N Congress Ave, Boynton Beach, FL 33426 Phone: 561-336-0191 Fax: 561-364-7785 | |
Dr. Jean S Pierre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Quantum Blvd, Boynton Beach, FL 33426 Phone: 561-740-7514 Fax: 844-530-0155 | |
Dr. Allen Wendt, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10301 Hagen Ranch Rd, Bldg A, Suite 760, Boynton Beach, FL 33437 Phone: 561-733-4400 Fax: 561-733-5004 | |
Ilene Joy Goldstein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437 Phone: 954-315-5750 Fax: 954-733-5004 | |
Peter Oppenheimer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 379 N Congress Ave, Boynton Beach, FL 33426 Phone: 561-336-0191 Fax: 561-364-7785 | |
Dr. Judith Cornely, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2828 S Seacrest Blvd, Suite 214, Boynton Beach, FL 33435 Phone: 561-734-1888 Fax: 561-734-8274 |