Dr Stacey Kaciuban, MD | |
1600 S Andrews Ave, Emergency Department, Fort Lauderdale, FL 33316-2510 | |
(954) 355-4400 | |
(954) 468-8035 |
Full Name | Dr Stacey Kaciuban |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1600 S Andrews Ave, Fort Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548435365 | NPI | - | NPPES |
000235600 | Medicaid | FL | |
91683 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME102063 (Florida) | Primary |
Entity Name | Inphynet Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
Entity Name | Inphynet South Broward Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey Kaciuban, MD 110 N Federal Hwy, Unit 914, Fort Lauderdale, FL 33301-1180 Ph: (954) 591-2224 | Dr Stacey Kaciuban, MD 1600 S Andrews Ave, Emergency Department, Fort Lauderdale, FL 33316-2510 Ph: (954) 355-4400 |
Dr. Adrian T. Maestas, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 Se 17th St, Fort Lauderdale, FL 33316 Phone: 954-200-6001 | |
Shannon Weinstein, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Nw 49th St, Suite 140, Fort Lauderdale, FL 33309 Phone: 877-751-1157 | |
Dr. Garrett Trance, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3991 Laurel Oak Way, Fort Lauderdale, FL 33312 Phone: 954-534-1351 | |
Dr. James G Clark, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Isle Of Capri Dr, Fort Lauderdale, FL 33301 Phone: 954-319-0225 | |
Donald A. Human, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33308 Phone: 954-343-2114 Fax: 800-463-3169 | |
Dr. Justin Yuen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 832-605-4463 | |
Thomas Mroz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400 |