Dr Kimberley Kleckner, MD | |
14470 Harlee Rd, Palmetto, FL 34221-9600 | |
(941) 747-3011 | |
Not Available |
Full Name | Dr Kimberley Kleckner |
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Gender | Female |
Speciality | Family Medicine |
Location | 14470 Harlee Rd, Palmetto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184053498 | NPI | - | NPPES |
P01597812 | Other | WA | RR PTAN WVH |
1184053498 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TRN17489 (Florida) | Secondary |
207Q00000X | Family Medicine | MD60528246 (Washington) | Secondary |
207Q00000X | Family Medicine | ME121675 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberley Kleckner, MD 437 Mirabay Blvd, Apollo Beach, FL 33572-3412 Ph: (973) 412-5610 | Dr Kimberley Kleckner, MD 14470 Harlee Rd, Palmetto, FL 34221-9600 Ph: (941) 747-3011 |
Mihaela Beloiu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th Ave W, Palmetto, FL 34221 Phone: 941-933-8108 Fax: 941-933-8109 | |
Dr. Thomas A Keith, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267 | |
Dr. Angel Enrique Llanio, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267 | |
Dr. James A Briles, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 606 4th Ave W, Palmetto, FL 34221 Phone: 941-722-7785 Fax: 941-729-5267 | |
Dr. Suzanne Sandra Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 10th St E, Palmetto, FL 34221 Phone: 941-847-7903 Fax: 941-847-7919 | |
Dr. David P Divita, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 10th St E, Palmetto, FL 34221 Phone: 941-847-7903 Fax: 941-847-7919 |