Kirk P Dockendorf, | |
110 Longwood Ave, Rockledge, FL 32955-2828 | |
(321) 637-2616 | |
(321) 637-2986 |
Full Name | Kirk P Dockendorf |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 110 Longwood Ave, Rockledge, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801813852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME91506 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Clinical Practice Association Inc | 0345146254 | 1622 |
Volusia Anesthesiology Associates Pa | 3971509720 | 25 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Florida Clinical Practice Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Entity Name | Volusia Anesthesiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205861697 PECOS PAC ID: 3971509720 Enrollment ID: O20061018000445 |
Entity Name | Parrish Anesthesia Specialist, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780997023 PECOS PAC ID: 8921289943 Enrollment ID: O20110224000281 |
Mailing Address | Practice Location Address |
---|---|
Kirk P Dockendorf, 3740 Brennan Dr, Melbourne, FL 32934-8341 Ph: (321) 242-9369 | Kirk P Dockendorf, 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 637-2616 |
Jeanette Kostell, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 407-667-0444 Fax: 407-667-4338 | |
Peter Haughie, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 321-637-2616 Fax: 321-637-2986 | |
Garry Fuller, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 407-667-0444 Fax: 407-667-4338 | |
Joshua R Reynolds, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 321-637-2616 | |
Herbert Mercado, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 407-667-0444 Fax: 407-667-4338 | |
Andrea Orphanos, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 407-667-0444 Fax: 407-667-4338 | |
Dr. Scott L Sugar, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 110 Longwood Ave, Rockledge, FL 32955 Phone: 321-637-2616 Fax: 321-637-2986 |