| Nicole Williamson, | |
|
3400 Gulf To Bay Blvd, Clearwater, FL 33759-4514 | |
| (813) 574-5200 | |
| Not Available |
| Full Name | Nicole Williamson |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 3 Years |
| Location | 3400 Gulf To Bay Blvd, Clearwater, 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 |
|---|---|---|---|
| 1154903979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA678 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 197 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Williamson, 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 Ph: () - | Nicole Williamson, 3400 Gulf To Bay Blvd, Clearwater, FL 33759-4514 Ph: (813) 574-5200 |
Hunter Douglas Barrett, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Briana Denise Johnson, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Janie E Yazdi, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Carmen Lucy Venable, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 | |
Ms. Amanda L Diaz, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-573-7777 Fax: 727-573-7710 | |
Marcus Everrett Thomas, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 300 Pinellas St, Clearwater, FL 33756 Phone: 727-462-7000 |