Fredric Charles Wollett, | |
1818 Sw 15th Ave, Ocala, FL 34474-3548 | |
(352) 671-4300 | |
(352) 671-4393 |
Full Name | Fredric Charles Wollett |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1818 Sw 15th Ave, Ocala, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598753352 | NPI | - | NPPES |
069894600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME41455 (Florida) | Primary |
Entity Name | Ocala Health Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023318060 PECOS PAC ID: 8224217179 Enrollment ID: O20110124001037 |
Mailing Address | Practice Location Address |
---|---|
Fredric Charles Wollett, Po Box 6200, Ocala, FL 34478-6200 Ph: (352) 671-4300 | Fredric Charles Wollett, 1818 Sw 15th Ave, Ocala, FL 34474-3548 Ph: (352) 671-4300 |
Ralf Richard Barckhausen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393 | |
Edson Gil Cortes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393 | |
Malcolm Edward Williamson Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393 | |
Dr. Luis A Jimenez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6035 Sw 54th St, Suite 101, Ocala, FL 34474 Phone: 352-857-9132 | |
Caleb Ruben Rivera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1818 Sw 15th Ave, Ocala, FL 34474 Phone: 352-671-4300 Fax: 352-671-4393 | |
Dr. Lourdes I Montes, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1901 Se 18th Ave Ste 200, Ocala, FL 34471 Phone: 352-671-4252 | |
Michael David Sombeck, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11363 Sw 95th Circle, Suite 100, Ocala, FL 34481 Phone: 352-350-8272 Fax: 352-350-8275 |