Nasser A Moukaddem, MD | |
4226 Central Ave, St Petersburg, FL 33711-1140 | |
(727) 321-3915 | |
Not Available |
Full Name | Nasser A Moukaddem |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 4226 Central Ave, St Petersburg, 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 |
---|---|---|---|
1124008883 | NPI | - | NPPES |
110189691 | Other | FL | RAILROAD MEDICARE |
254197100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | FLME0071447 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
Morton Plant Hospital | Clearwater, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Wellmed Medical Management Of Florida Inc | 3971678558 | 205 |
Entity Name | Wellmed Medical Management Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033395397 PECOS PAC ID: 3971678558 Enrollment ID: O20080815000432 |
Entity Name | Nasser Moukaddem, M.d., P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831220235 PECOS PAC ID: 6002097748 Enrollment ID: O20110301000029 |
Mailing Address | Practice Location Address |
---|---|
Nasser A Moukaddem, MD 4226 Central Ave, St Petersburg, FL 33711-1140 Ph: (727) 321-3915 | Nasser A Moukaddem, MD 4226 Central Ave, St Petersburg, FL 33711-1140 Ph: (727) 321-3915 |
Ronald S. Kline, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2150 Pelham Rd N, St Petersburg, FL 33710 Phone: 727-345-0001 | |
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 |