Dr Yissa D Fonticiella, MD | |
700 6th St S Fl 2, St Petersburg, FL 33701-4815 | |
(727) 893-6198 | |
(727) 893-6978 |
Full Name | Dr Yissa D Fonticiella |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 700 6th St S Fl 2, 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 |
---|---|---|---|
1548672678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 19707 (Florida) | Primary |
Entity Name | Ohi West Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518572551 PECOS PAC ID: 2668882507 Enrollment ID: O20201105000368 |
Mailing Address | Practice Location Address |
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Dr Yissa D Fonticiella, MD 700 6th St S Fl 2, St Petersburg, FL 33701-4815 Ph: (727) 893-6198 | Dr Yissa D Fonticiella, MD 700 6th St S Fl 2, St Petersburg, FL 33701-4815 Ph: (727) 893-6198 |
Bradley Harmon Sipe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 625 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-7903 | |
Dr. David D. Desper Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 6th St S, St Petersburg, FL 33701 Phone: 727-893-6198 | |
Mariam Aboulela, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 6th St S, St Petersburg, FL 33701 Phone: 727-893-6198 Fax: 727-893-6978 | |
Wilfredo Lorenzo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6700 Crosswinds Dr N, Ste 200a, St Petersburg, FL 33710 Phone: 727-344-4651 Fax: 727-347-6224 | |
Dr. Molly M Long, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S, Suite 300, St Petersburg, FL 33701 Phone: 727-954-7121 Fax: 727-954-7122 | |
Michael Kinder, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 700 Central Ave Ste 400, St Petersburg, FL 33701 Phone: 727-895-1300 Fax: 727-823-3494 | |
Dr. Margaret Lindsay Struthers, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 603 7th St S, Suite 300, St Petersburg, FL 33701 Phone: 727-553-7500 |