Dr Ronald Scott Chamberlain, MD | |
13933 17th St Ste 200, Dade City, FL 33525-4604 | |
(352) 437-5972 | |
Not Available |
Full Name | Dr Ronald Scott Chamberlain |
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Gender | Male |
Speciality | Surgery |
Location | 13933 17th St Ste 200, Dade City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063421766 | NPI | - | NPPES |
Z209179 | Other | AZ | MEDICARE |
171481 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 51311 (Arizona) | Secondary |
208600000X | Surgery | ME148095 (Florida) | Primary |
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
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Dr Ronald Scott Chamberlain, MD 13933 17th St Ste 200, Dade City, FL 33525-4604 Ph: (352) 437-5972 | Dr Ronald Scott Chamberlain, MD 13933 17th St Ste 200, Dade City, FL 33525-4604 Ph: (352) 437-5972 |
Dr. Thomas A. Castillenti, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13345 Thoroughbred Dr, Dade City, FL 33525 Phone: 813-309-2829 Fax: 813-355-5065 | |
Dr. Lee Jay Grossbard, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 13933 17th St, Suite 200, Dade City, FL 33525 Phone: 352-437-5971 | |
Dr. Naga Uk Thatimatla, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13933 17th St Ste 200, Dade City, FL 33525 Phone: 352-437-5971 Fax: 352-437-5974 | |
Mr. Luis H Serentill, PHYSICIAN/MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13933 17th St Ste 200, Dade City, FL 33525 Phone: 352-437-5972 Fax: 352-437-5974 |