Vicki D Skidmore, DO is a
Pediatrics physician based in University Park, Florida. Vicki D Skidmore is licensed to practice in Florida (license number OS10376) and her current practice location is 8460 Cooper Creek Blvd, Suite 101, University Park, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 360-1266.
NPI number for Vicki D Skidmore is 1265629539 and her current mailing address is 8460 Cooper Creek Blvd, Suite 101, University Park, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265629539.
Physician's Profile
| Full Name | Vicki D Skidmore |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 8460 Cooper Creek Blvd, University Park, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265629539
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 12/20/2012
Medical Identifiers
Medical identifiers for Vicki D Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265629539 | NPI | - | NPPES |
| 000070500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | OS10376 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vicki D Skidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vicki D Skidmore, DO
8460 Cooper Creek Blvd, Suite 101,
University Park, FL 34201-2019
Ph: (941) 360-1266 | Vicki D Skidmore, DO
8460 Cooper Creek Blvd, Suite 101,
University Park, FL 34201-2019
Ph: (941) 360-1266 |
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