Mrs Marni L Nicholas, MD | |
1080 E Indiantown Rd, Suite 206, Jupiter, FL 33477-5100 | |
(561) 741-5566 | |
(561) 295-5237 |
Full Name | Mrs Marni L Nicholas |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1080 E Indiantown Rd, Jupiter, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174517122 | NPI | - | NPPES |
30204330 | Medicaid | NH | |
420610099 | Medicaid | NH | |
3082849 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12286 (New Hampshire) | Secondary |
207R00000X | Internal Medicine | 229705 (New York) | Secondary |
207R00000X | Internal Medicine | ME123735 (Florida) | Primary |
Entity Name | Primary Care Services Of Jupiter Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164809307 PECOS PAC ID: 4183934631 Enrollment ID: O20151112001461 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marni L Nicholas, MD 1080 E Indiantown Rd, Suite 206, Jupiter, FL 33477-5100 Ph: (561) 741-5566 | Mrs Marni L Nicholas, MD 1080 E Indiantown Rd, Suite 206, Jupiter, FL 33477-5100 Ph: (561) 741-5566 |
Dr. Adam Scott Barron, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5155 Corporate Way, Suite C, Jupiter, FL 33458 Phone: 561-881-3022 Fax: 561-881-3088 | |
Dr. Chauncey Warren Crandall Iv, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 University Blvd, Suite-200, Jupiter, FL 33458 Phone: 561-627-2210 Fax: 561-627-5850 | |
Dr. Ivor Jackson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4600 Military Trail, Suite 218, Jupiter, FL 33458 Phone: 561-626-9041 | |
Dr. Kathryn Elaine Reynolds, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Heritage Dr, Suite 150, Jupiter, FL 33458 Phone: 561-659-6336 Fax: 561-659-9353 | |
Peter Owen Lyn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1080 E Indiantown Rd Ste 206, Jupiter, FL 33477 Phone: 561-741-5566 Fax: 561-295-5237 | |
Dr. Monica Janet Munoz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 Military Trl, Suite 203, Jupiter, FL 33458 Phone: 561-626-9041 | |
Dr. Michael Zhang, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 411 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-642-1000 Fax: 561-804-5629 |