Dr Richard Gordon Picciocca Jr, MD | |
519 Medical Oaks Ave, Brandon, FL 33511-5961 | |
(813) 685-7995 | |
(813) 685-8802 |
Full Name | Dr Richard Gordon Picciocca Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 23 Years |
Location | 519 Medical Oaks Ave, Brandon, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356524854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME103771 (Florida) | Secondary |
208600000X | Surgery | ME103771 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Brandon Regional Hospital | Brandon, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suncoast Surgical Associates P A | 3072546266 | 7 |
Entity Name | Suncoast Surgical Associates P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780710020 PECOS PAC ID: 3072546266 Enrollment ID: O20050917000285 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Gordon Picciocca Jr, MD 519 Medical Oaks Ave, Brandon, FL 33511-5961 Ph: (813) 685-7995 | Dr Richard Gordon Picciocca Jr, MD 519 Medical Oaks Ave, Brandon, FL 33511-5961 Ph: (813) 685-7995 |
John Kimble Butterick, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 302 Bryan Rd, Suite 2, Brandon, FL 33511 Phone: 813-681-7512 Fax: 813-684-8974 | |
Dr. In Soon Park, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-685-8802 | |
Dr. Darshan B Thakkar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 116 Parsons Park Dr, Brandon, FL 33511 Phone: 813-684-5255 | |
Subhasis Misra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 205 S Moon Ave Ste 102a, Brandon, FL 33511 Phone: 813-662-6200 Fax: 813-571-1688 | |
Dr. Jeffrey Scott Mino, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-685-8802 | |
Dr. Eric Edward Capriles, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-643-8777 | |
Dr. Samer Koussayer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 South Parsons Ave, Brandon, FL 33511 Phone: 813-681-4644 Fax: 813-654-4486 |