George Wickramanayake, | |
855 S Highland Ave, Clearwater, FL 33756-4446 | |
(727) 219-1833 | |
(727) 298-8794 |
Full Name | George Wickramanayake |
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Gender | Male |
Speciality | Family Medicine |
Location | 855 S Highland Ave, Clearwater, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821452707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME140806 (Florida) | Primary |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
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George Wickramanayake, 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | George Wickramanayake, 855 S Highland Ave, Clearwater, FL 33756-4446 Ph: (727) 219-1833 |
Pranav Reddy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 S Belcher Rd, Clearwater, FL 33765 Phone: 727-678-5577 Fax: 727-399-6866 | |
Dr. Anne-marie Cathy Johnrose-brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4520 E Bay Dr, Clearwater, FL 33764 Phone: 727-615-3032 | |
Dr. Mohammad Hossein Gharavi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 51 S Main Ave, Suite 318, Clearwater, FL 33765 Phone: 727-572-6261 Fax: 727-443-2501 | |
Dr. Walter J Kay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2724 Park Dr, Clearwater, FL 33763 Phone: 727-796-2444 Fax: 727-796-7653 | |
Anthony Ngo, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2086 Gulf To Bay Blvd, Clearwater, FL 33765 Phone: 727-462-0100 Fax: 727-462-0177 | |
Dr. Ralph A Rophie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1013 Lotus Path, Clearwater, FL 33756 Phone: 727-449-9595 | |
Dr. Fred H Brennan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 N Myrtle Ave, Clearwater, FL 33755 Phone: 727-467-2400 Fax: 727-467-2477 |