Dr Nicholas Gilliam, DO | |
200 Avenue F Ne, Winter Haven, FL 33881-4131 | |
(800) 229-2273 | |
Not Available |
Full Name | Dr Nicholas Gilliam |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 200 Avenue F Ne, Winter Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255960357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | OS21066 (Florida) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 34.016963 (Ohio) | Secondary |
Entity Name | Baycare Behavioral Health Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245502152 PECOS PAC ID: 2567624836 Enrollment ID: O20120502000477 |
Mailing Address | Practice Location Address |
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Dr Nicholas Gilliam, DO 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Dr Nicholas Gilliam, DO 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (800) 229-2273 |
Iftikhar Rasul, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 1st Street South, Winter Haven, FL 33880 Phone: 863-297-1702 Fax: 863-291-6084 | |
Kehinde Monruf Adesokan, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Dr. Shailesh Rajguru, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191 | |
Dr. Maresa Lugo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 675 Avenue L Se, Winter Haven, FL 33880 Phone: 863-485-8242 Fax: 863-220-7522 | |
Dr. Manjit Vohra, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 727-519-1839 Fax: 727-519-1830 | |
Jitendra Mehta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 571 Avenue K Se, Winter Haven, FL 33880 Phone: 863-299-1498 Fax: 863-293-3707 |