Nicole Chandler, MD | |
601 5th St S, Department 70-6600, St Petersburg, FL 33701 | |
(727) 767-4170 | |
(727) 767-4346 |
Full Name | Nicole Chandler |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 601 5th St S, 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 |
---|---|---|---|
1831235670 | NPI | - | NPPES |
000191600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | D0064535 (Maryland) | Primary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
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Nicole Chandler, MD 601 5th St S, Department 70-6600, St Petersburg, FL 33701 Ph: (727) 767-4170 | Nicole Chandler, MD 601 5th St S, Department 70-6600, St Petersburg, FL 33701 Ph: (727) 767-4170 |
Steven M Levine, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4957 38th Ave N, Suite C, St Petersburg, FL 33710 Phone: 727-521-4402 Fax: 727-521-1622 | |
Dr. Eugene A Murphy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 10th Street N., St Petersburg, FL 33705 Phone: 727-824-8209 Fax: 727-824-7154 | |
Dr. Robyn Michele Ache, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Carillon Pkwy, Suite 401, St Petersburg, FL 33716 Phone: 727-289-7137 Fax: 727-498-6418 | |
Hester Fay Shieh, MD Surgery Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 480-221-0355 | |
Dr. Keith Andrew Thatch, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 306, St Petersburg, FL 33701 Phone: 727-767-3439 Fax: 727-767-4346 | |
Chun Kevin Yang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 960 7th Ave N, St Petersburg, FL 33705 Phone: 277-821-8101 Fax: 727-825-1357 | |
Caitlin J Crosier, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 605, St Petersburg, FL 33701 Phone: 727-767-8679 Fax: 727-767-8804 |