Scott C Wickless, DO | |
1801 S Osprey Ave Unit 201, Sarasota, FL 34239-3625 | |
(941) 957-4767 | |
(941) 955-7334 |
Full Name | Scott C Wickless |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 22 Years |
Location | 1801 S Osprey Ave Unit 201, Sarasota, 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 |
---|---|---|---|
1043222714 | NPI | - | NPPES |
107709300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZD0900X | Pathology - Dermatopathology | OS15286 (Florida) | Secondary |
207N00000X | Dermatology | OS15286 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bella Derma, Llc | 2466424072 | 11 |
Entity Name | Bella Derma, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730106642 PECOS PAC ID: 2466424072 Enrollment ID: O20040812000579 |
Mailing Address | Practice Location Address |
---|---|
Scott C Wickless, DO 4919 Memorial Hwy Ste 150, Tampa, FL 33634-7516 Ph: (813) 333-1528 | Scott C Wickless, DO 1801 S Osprey Ave Unit 201, Sarasota, FL 34239-3625 Ph: (941) 957-4767 |
Dr. Sena J Lee, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2426 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-955-0360 Fax: 941-955-9806 | |
Steven Mark Burnett, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1545 Mound St, Sarasota, FL 34236 Phone: 941-957-3376 Fax: 941-951-1966 | |
Nicole Patzelt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12609 Promenade Estates Blvd, Sarasota, FL 34238 Phone: 201-956-7727 | |
William Elstein, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 3920 Bee Ridge Rd, Bldg H Ste K, Sarasota, FL 34233 Phone: 941-923-5455 Fax: 941-925-3257 | |
Dr. Elizabeth Anne Reisinger, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3355 Clark Rd Ste 101, Sarasota, FL 34231 Phone: 941-921-4131 Fax: 941-921-4173 | |
J Morgan Odonoghue, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1952 Field Rd, Sarasota, FL 34231 Phone: 941-926-7546 Fax: 941-926-2777 | |
Dr. Erin M. Long, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3333 Cattlemen Rd, Suite 106, Sarasota, FL 34232 Phone: 941-379-1799 Fax: 941-379-1899 |