Dr Rosa A Vidal, MD | |
2432 67th Ave S, St Petersburg, FL 33712-5613 | |
(251) 454-1126 | |
(727) 528-6452 |
Full Name | Dr Rosa A Vidal |
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Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 2432 67th Ave 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 |
---|---|---|---|
1578503751 | NPI | - | NPPES |
00125518 | Medicaid | MS | |
ME135633 | Other | FL | FLORIDA BOARD OF MEDICINE |
009981610 | Medicaid | AL | |
1699098 | Medicaid | LA | |
263997100 | Medicaid | FL | |
39-00626 | Other | AL | UNITED HEALTHCARE |
51507738 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 24595 (Alabama) | Primary |
Entity Name | University Of South Alabama Health Services Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962455881 PECOS PAC ID: 8426957952 Enrollment ID: O20040105000373 |
Entity Name | University Of South Alabama |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773 |
Entity Name | Usa Health Physician Billing Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
Mailing Address | Practice Location Address |
---|---|
Dr Rosa A Vidal, MD 2432 67th Ave S, St Petersburg, FL 33712-5613 Ph: (251) 454-1126 | Dr Rosa A Vidal, MD 2432 67th Ave S, St Petersburg, FL 33712-5613 Ph: (251) 454-1126 |
Dr. Stephen Rogers Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636 | |
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 | |
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444 | |
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285 | |
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176 |