Javier M Prado, MD | |
725 N Us Highway 1, Fort Pierce, FL 34950-9125 | |
(772) 252-4014 | |
(772) 999-5577 |
Full Name | Javier M Prado |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 725 N Us Highway 1, Fort Pierce, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922148253 | NPI | - | NPPES |
262196700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME82500 (Florida) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME82500 (Florida) | Secondary |
Entity Name | Whole Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578612883 PECOS PAC ID: 5496641169 Enrollment ID: O20040227000663 |
Mailing Address | Practice Location Address |
---|---|
Javier M Prado, MD 827 18th St, Vero Beach, FL 32960-6481 Ph: (772) 925-8200 | Javier M Prado, MD 725 N Us Highway 1, Fort Pierce, FL 34950-9125 Ph: (772) 252-4014 |
Dr. Bih Bikelle, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 678-941-6191 | |
Leah N. Evangelista, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 Fax: 772-468-4077 | |
Dr. Richard Charles Callison Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 201, Fort Pierce, FL 34950 Phone: 772-460-8838 Fax: 772-460-8808 | |
Dr. Alan Ray Tesson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-467-3097 Fax: 772-467-4166 | |
Sureshchandra N. Desai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Scott Burgess Richards, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Dr. Kathie Kowalczyk, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950 Phone: 772-595-5302 |