Nathan Morris Hameroff, MD | |
5880 49th St N, Suite 104, St Petersburg, FL 33709-2150 | |
(727) 521-9552 | |
(727) 528-4757 |
Full Name | Nathan Morris Hameroff |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 5880 49th St N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053367904 | NPI | - | NPPES |
300075305 | Other | RAILROAD MEDICARE | |
52796 | Other | FL | BLUE CROSS BLUE SHIELD |
056422200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME11683 (Florida) | Primary |
Entity Name | Diagnostic Outpatient Centers Ii Inc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1073565909 PECOS PAC ID: 9234185596 Enrollment ID: O20050330000098 |
Entity Name | Diagnostic Outpatient Centers Inc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1063469690 PECOS PAC ID: 6204882624 Enrollment ID: O20050909000542 |
Entity Name | Diagnostic Outpatient Centers Inc |
---|---|
Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
Entity Identifiers | NPI Number: 1568419109 PECOS PAC ID: 6204882624 Enrollment ID: O20120709000035 |
Mailing Address | Practice Location Address |
---|---|
Nathan Morris Hameroff, MD 1190 80th Street Ct S, St Petersburg, FL 33707-2725 Ph: (727) 384-0395 | Nathan Morris Hameroff, MD 5880 49th St N, Suite 104, St Petersburg, FL 33709-2150 Ph: (727) 521-9552 |
Dr. Richard A. Leverone, DC Radiology Medicare: Not Enrolled in Medicare Practice Location: 5136 Central Ave, St Petersburg, FL 33707 Phone: 727-579-2500 Fax: 727-579-3433 | |
Natalia Dolin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-767-3318 | |
Dr. John J. O'brien, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 747 6th Ave S, St Petersburg, FL 33701 Phone: 727-898-3647 | |
Dr. Vincent B Rowley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 | |
Dr. Matthew J Rahaim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 Fax: 727-827-5155 | |
Dr. Lowell Dean Dawson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S Ste 400, St Petersburg, FL 33701 Phone: 727-893-6435 Fax: 727-893-6436 | |
Sally E Mitchell, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3318 |