Ms Vicki Siedlack, NP | |
4016 Sun City Center Blvd, Sun City Center, FL 33573-5256 | |
(813) 634-3301 | |
Not Available |
Full Name | Ms Vicki Siedlack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 4016 Sun City Center Blvd, Sun City Center, 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 |
---|---|---|---|
1689682262 | NPI | - | NPPES |
PENDING | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3099632 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Observation Medical Group Llc | 3779872627 | 58 |
Entity Name | Emergency Medical Associates Of Tampa Bay Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
Entity Name | Observation Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
Mailing Address | Practice Location Address |
---|---|
Ms Vicki Siedlack, NP 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (800) 424-3672 | Ms Vicki Siedlack, NP 4016 Sun City Center Blvd, Sun City Center, FL 33573-5256 Ph: (813) 634-3301 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Pamela Sevalia, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 104, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 | |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 | |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 | |
Guedry Edouard, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15407 Ibis Fall Pl, Sun City Center, FL 33573 Phone: 239-692-1157 | |
Kaela Jean Dolezel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 | |
Jill Willard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 |