Dr Sydney Nichols, MD | |
7955 Bay St Ste 2, Sebastian, FL 32958-3282 | |
(772) 388-9155 | |
(772) 388-9154 |
Full Name | Dr Sydney Nichols |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 7955 Bay St Ste 2, Sebastian, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235391012 | NPI | - | NPPES |
340125 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-35889 (Kansas) | Secondary |
208000000X | Pediatrics | ME153584 (Florida) | Primary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Sydney Nichols, MD 7955 Bay St Ste 2, Sebastian, FL 32958-3282 Ph: (772) 388-9155 | Dr Sydney Nichols, MD 7955 Bay St Ste 2, Sebastian, FL 32958-3282 Ph: (772) 388-9155 |
Dr. Kimberly Graziano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7935 Bay St, Suite #3, Sebastian, FL 32958 Phone: 772-581-0636 Fax: 772-581-0635 | |
Dr. Eric M Finch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13832 Us Highway 1, Sebastian, FL 32958 Phone: 772-581-0636 | |
Dr. Marza Smith Penny, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8005 Bay St, Suite 4, Sebastian, FL 32958 Phone: 772-581-0300 Fax: 772-581-0010 | |
Dr. Sandra K Wechsler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13505 Us Highway 1, Sebastian, FL 32958 Phone: 772-257-8224 Fax: 772-213-3157 |