Dr Richard Perry Davis, MD | |
1350 Hickory St, Melbourne, FL 32901-3224 | |
(321) 434-7000 | |
Not Available |
Full Name | Dr Richard Perry Davis |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 1350 Hickory St, Melbourne, 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 |
---|---|---|---|
1891938916 | NPI | - | NPPES |
036.1275555 | Other | IL | STATE OF ILLINOIS, DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
125.054799 | Other | IL | TEMPORARY MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125.054799 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME120255 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Palm Bay Hospital | Palm bay, FL | Hospital |
Viera Hospital | Melbourne, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brevard Physician Associates Pllc | 1850535048 | 197 |
Neuroskeletal Imaging Llc | 6204865223 | 7 |
Health First Medical Group Llc | 7416100672 | 689 |
Entity Name | Neuroskeletal Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639163975 PECOS PAC ID: 6204865223 Enrollment ID: O20050810000711 |
Entity Name | Health First Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Entity Name | Brevard Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Perry Davis, MD Po Box 2400, Melbourne, FL 32902-2400 Ph: (877) 448-8675 | Dr Richard Perry Davis, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7000 |
David Samuel Epstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Thomas H Magee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 709 S Harbor City Blvd Ste 100, Melbourne, FL 32901 Phone: 321-409-9900 Fax: 321-309-9033 | |
Dr. Irina S Mezheritskiy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238 | |
Dr. Charles Ehlenberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory Street, Melbourne, FL 32901 Phone: 321-434-7000 | |
Dr. Santiago Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Melbourne, FL 32901 Phone: 321-549-0677 | |
Steven D Picerne, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 W Hibiscus Blvd Ste 100, Melbourne, FL 32901 Phone: 321-726-3800 | |
Dr. Brent D Brandon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory St, Holmes Regional Medical Center/radiology, Melbourne, FL 32901 Phone: 321-434-7313 Fax: 321-434-7238 |