Susan J Fosnot, DO | |
401 Corbett St, Suite 400, Belleair, FL 33756-7309 | |
(727) 462-2229 | |
(727) 447-5610 |
Full Name | Susan J Fosnot |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 401 Corbett St, Belleair, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588637565 | NPI | - | NPPES |
251910101 | Medicaid | FL | |
1215135090 | Other | FL | GROUP NPI |
251910100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 058516 (Florida) | Primary |
Entity Name | Womens Care Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
Entity Name | Vitalmd Group Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Entity Name | Womens' Health Hospitalists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
Mailing Address | Practice Location Address |
---|---|
Susan J Fosnot, DO Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Susan J Fosnot, DO 401 Corbett St, Suite 400, Belleair, FL 33756-7309 Ph: (727) 462-2229 |
Stephanie Vanzandt, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Corbett St, Contemporary Womens Care Suite 400, Belleair, FL 33756 Phone: 727-462-2229 Fax: 727-447-5610 | |
Shelley A Young, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Corbett St, Suite 400, Belleair, FL 33756 Phone: 727-462-2229 Fax: 727-447-5610 |