Natalie J Wichelt, | |
10729 Queens Town Dr, Riverview, FL 33579-7186 | |
(813) 672-3497 | |
(813) 741-2418 |
Full Name | Natalie J Wichelt |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10729 Queens Town Dr, Riverview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548897630 | NPI | - | NPPES |
119669600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME162290 (Florida) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Natalie J Wichelt, 720 Brooker Creek Blvd Ste 215, Oldsmar, FL 34677-2937 Ph: (813) 854-2003 | Natalie J Wichelt, 10729 Queens Town Dr, Riverview, FL 33579-7186 Ph: (813) 672-3497 |
Dr. Heather Sue Thole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-236-9000 Fax: 813-236-9002 | |
Dr. Peter Allen Kosoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9406 Balm Riverview Road, Riverview, FL 33569 Phone: 813-236-9310 Fax: 813-236-9311 | |
Christina Estrada Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Gerard R Hough, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11122 Circle Press Ln, Riverview, FL 33578 Phone: 813-681-1410 | |
Dr. Tanya Michelle Liberato, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Joseph Leon Portnoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 | |
Alrick Leshonda Davis Drummond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13043 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-677-2222 Fax: 813-677-2241 |