| Dr Van Lilly, MD | |
|
880 6th St S, Suite 470, Saint Petersburg, FL 33701-4827 | |
| (727) 767-4313 | |
| (727) 767-4391 |
| Full Name | Dr Van Lilly |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 880 6th St S, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724187 | NPI | - | NPPES |
| 0694673-00 | Medicaid | FL | |
| 15902 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | ME0045834 (Florida) | Primary |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Van Lilly, MD Po Box 863298, Orlando, FL 32886-3298 Ph: (727) 767-4378 | Dr Van Lilly, MD 880 6th St S, Suite 470, Saint Petersburg, FL 33701-4827 Ph: (727) 767-4313 |
Aimen Elmehdi Ben Ayad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-4313 | |
Grace A Freire, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, 2nd Floor, Saint Petersburg, FL 33701 Phone: 727-767-3333 Fax: 727-767-8990 | |
Saba Ahmad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-8181 | |
Dr. Ann Marie Szymanski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S Ste 504, Saint Petersburg, FL 33701 Phone: 727-767-7438 | |
Bhumika Patel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1800 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33704 Phone: 813-873-1177 Fax: 631-444-2493 | |
Dr. Rafael Santiago, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, 5th Floor, Dept 6941, Saint Petersburg, FL 33701 Phone: 727-767-8480 Fax: 727-767-8420 | |
Athena Lynette Richardson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N, Ste. 1-d, Saint Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 |