Kelly Cason Driver, DO | |
119 Oakfield Dr, Brandon, FL 33511 | |
(813) 916-0674 | |
(813) 916-2910 |
Full Name | Kelly Cason Driver |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 119 Oakfield Dr, 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 |
---|---|---|---|
1184981623 | NPI | - | NPPES |
019314000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | OS13319 (Florida) | Primary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
---|---|
Kelly Cason Driver, DO 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-4313 | Kelly Cason Driver, DO 119 Oakfield Dr, Brandon, FL 33511 Ph: (813) 916-0674 |
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 |