Ever I Rivera, MD | |
1114 Bell Shoals Rd, Brandon, FL 33511-8813 | |
(813) 940-8140 | |
(813) 940-8148 |
Full Name | Ever I Rivera |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1114 Bell Shoals Rd, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770511024 | NPI | - | NPPES |
53755 | Other | FL | BLUE CROSS BLUE SHIELD |
340392100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME88369 (Florida) | Primary |
Entity Name | Kids Corner Pediatrics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720603129 PECOS PAC ID: 0749606309 Enrollment ID: O20200813002702 |
Mailing Address | Practice Location Address |
---|---|
Ever I Rivera, MD 1114 Bell Shoals Rd, Brandon, FL 33511-8813 Ph: (813) 940-8140 | Ever I Rivera, MD 1114 Bell Shoals Rd, Brandon, FL 33511-8813 Ph: (813) 940-8140 |
Shelley Smith Tickett, Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511 Phone: 813-699-3995 | |
Dr. Monica Shah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 S Parsons Ave, Brandon, FL 33511 Phone: 813-685-4553 Fax: 813-681-1191 | |
Noelle Vallimont, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 681 W Lumsden Rd, Brandon, FL 33511 Phone: 813-655-7726 | |
Robert Neil Pelaez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 E Bloomingdale Ave Ste 501, Brandon, FL 33511 Phone: 813-699-3995 | |
Anna Maria Myers, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 S Parsons Ave, Brandon, FL 33511 Phone: 813-685-4553 Fax: 813-681-1191 | |
Dr. Alicia Medrano Ong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1037 Professional Park Dr, Brandon, FL 33511 Phone: 813-684-5659 Fax: 813-685-2640 | |
Shivinder Narwal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 S Moon Ave Ste 103, Brandon, FL 33511 Phone: 813-324-2613 Fax: 813-324-2614 |