Richard P Klucznik, MD | |
3100 E Fletcher Ave, Tampa, FL 33613-4613 | |
(813) 615-7075 | |
(813) 615-8086 |
Full Name | Richard P Klucznik |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 3100 E Fletcher Ave, Tampa, 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 |
---|---|---|---|
1235129958 | NPI | - | NPPES |
128899501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | J2643 (Texas) | Secondary |
2085N0700X | Radiology - Neuroradiology | ME157552 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Tampa | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Hospital Physician Group Inc | 2365679057 | 437 |
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
---|---|
Richard P Klucznik, MD Dept 488, Po Box 4346, Houston, TX 77210-4346 Ph: (713) 441-7558 | Richard P Klucznik, MD 3100 E Fletcher Ave, Tampa, FL 33613-4613 Ph: (813) 615-7075 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 | |
Scott D Perrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-251-5822 | |
Sen Lu, M.D., M.P.H. Radiology Medicare: Medicare Enrolled Practice Location: 17 Davis Blvd, Suite 308, Tampa, FL 33606 Phone: 813-259-8515 |