Katherine Black, | |
1000 36th St, Vero Beach, FL 32960-4862 | |
(772) 567-4311 | |
Not Available |
Full Name | Katherine Black |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1000 36th St, Vero Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841750825 | NPI | - | NPPES |
115059300 | Medicaid | FL | |
TF0ZU | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | ME157028 (Florida) | Secondary |
207R00000X | Internal Medicine | ME157028 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
---|---|
Katherine Black, Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Katherine Black, 1000 36th St, Vero Beach, FL 32960-4862 Ph: (772) 567-4311 |
Dr. Erol R Atamer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1265 36th St, Vero Beach, FL 32960 Phone: 772-567-6340 Fax: 772-567-3564 | |
Joseph John Zerega, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 11th Cir, Suite 101, Vero Beach, FL 32960 Phone: 772-299-3511 Fax: 772-299-3517 | |
Dennis C King, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4165 9th St Sw, Suite 106, Vero Beach, FL 32968 Phone: 772-569-7706 | |
Dr. Leon Hendley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 36th Street, Suite C, Vero Beach, FL 32960 Phone: 772-770-4911 Fax: 772-569-4583 | |
Dr. Bradley Adam Kast, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln, Suite 201, Vero Beach, FL 32960 Phone: 772-794-3364 | |
Stephen G Ritter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 37th Pl Ste B, Vero Beach, FL 32960 Phone: 772-567-6140 Fax: 772-567-6170 | |
Dr. Caroline Remo Mcknight, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-794-1474 |