Dr Katherina Kobraei Basic, MD | |
1601 Sw Archer Rd, Gainesville, FL 32608-1197 | |
(352) 337-4900 | |
Not Available |
Full Name | Dr Katherina Kobraei Basic |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 1601 Sw Archer Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457448342 | NPI | - | NPPES |
002471100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME105569 (Florida) | Primary |
Entity Name | Dermatology Of Gainesville Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437633880 PECOS PAC ID: 7618211061 Enrollment ID: O20181212000379 |
Mailing Address | Practice Location Address |
---|---|
Dr Katherina Kobraei Basic, MD 1601 Sw Archer Rd, Gainesville, FL 32608-1135 Ph: (352) 337-4900 | Dr Katherina Kobraei Basic, MD 1601 Sw Archer Rd, Gainesville, FL 32608-1197 Ph: (352) 337-4900 |
Sailesh Konda, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4037 Nw 86th Ter, 4th Floor, Gainesville, FL 32606 Phone: 352-594-1942 | |
Matthew Jordan Steadmon, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0239 Fax: 352-265-1107 | |
Dr. Richard Charles Childers, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 928 Nw 57th St, Gainesville, FL 32605 Phone: 352-331-0418 Fax: 352-331-0133 | |
Candace Jordan Glenn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4037 Nw 86th Ter Fl 4, Gainesville, FL 32606 Phone: 352-594-1500 Fax: 352-594-1926 | |
Tyler Werbel, Dermatology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Road, Gainesville, FL 32610 Phone: 352-594-1942 | |
Mr. Charles Blanchard Stoer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4525 Sw 13th St, Gainesville, FL 32608 Phone: 352-377-8619 Fax: 352-371-9674 | |
Paul Benhart Thompson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Dermatology Suite, Gainesville, FL 32608 Phone: 352-376-6770 |