Dr Stacey Edwin Podkovik, DO is a
Student In An Organized Health Care Education/training Program physician based in Miami, Florida. Dr Stacey Edwin Podkovik is licensed to practice in * (Not Available) (license number ) and his current practice location is 3100 Sw 62nd Ave, Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(800) 432-6837.
NPI number for Dr Stacey Edwin Podkovik is 1215463914 and his current mailing address is 3100 Sw 62nd Ave, Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215463914.
Physician's Profile
| Full Name | Dr Stacey Edwin Podkovik |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3100 Sw 62nd Ave, Miami, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215463914
- Provider Enumeration Date: 05/02/2017
- Last Update Date: 08/14/2024
Medical Identifiers
Medical identifiers for Dr Stacey Edwin Podkovik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215463914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 20A16756 (California) | Secondary |
| 207T00000X | Neurological Surgery | OS20696 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stacey Edwin Podkovik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stacey Edwin Podkovik, DO
3100 Sw 62nd Ave,
Miami, FL 33155-3009
Ph: () - | Dr Stacey Edwin Podkovik, DO
3100 Sw 62nd Ave,
Miami, FL 33155-3009
Ph: (800) 432-6837 |
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