Mary Sanicola, CAA | |
12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | |
(888) 663-3488 | |
Not Available |
Full Name | Mary Sanicola |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 8 Years |
Location | 12902 Usf Magnolia Dr, Tampa, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780131938 | NPI | - | NPPES |
1780131938 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 133 (Wisconsin) | Secondary |
367H00000X | Anesthesiologist Assistant | AA366 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 936 |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255313169 PECOS PAC ID: 4587563408 Enrollment ID: O20040108000602 |
Mailing Address | Practice Location Address |
---|---|
Mary Sanicola, CAA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 | Mary Sanicola, CAA 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (888) 663-3488 |
Mrs. Kayla Edmonds, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 | |
Ms. Julia Chung, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Jeffrey Glenn Hess, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Brighu Kumar, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: American Anesthesiology Associates Of Florida, Inc, 300 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Ms. Mackensie Ligon, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Mrs. Kristen Monique Siefring, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 | |
Marya Caroline Williamson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246 |