| Brandon-riverview Medical Associates Pa | |
|
519 E Bloomingdale Ave Ste A Brandon FL 33511-8180 | |
| (813) 655-4100 | |
| (813) 655-1775 |
| Full Name | Brandon-riverview Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 519 E Bloomingdale Ave Ste A, Brandon, Florida |
| Authorized Official Name and Position | Jagdeep S Sandhu (OWNER) |
| Authorized Official Contact | 8136554100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon-riverview Medical Associates Pa 519 E Bloomingdale Ave Ste A Brandon FL 33511-8180 Ph: (813) 355-4100 | Brandon-riverview Medical Associates Pa 519 E Bloomingdale Ave Ste A Brandon FL 33511-8180 Ph: (813) 655-4100 |
| NPI Number | 1235411000 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 1456518430 |
|---|---|
| Medicare Enrollment ID | O20120202000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235411000 | NPI | - | NPPES |
| 002M1 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jagdeep S. Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528034477 PECOS PAC ID: 1658274352 Enrollment ID: I20120127000222 |
| Provider Name | Ravneet K Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518933456 PECOS PAC ID: 0749183440 Enrollment ID: I20120316000320 |
| Provider Name | Dalisay N Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558382960 PECOS PAC ID: 1850470832 Enrollment ID: I20150825003995 |
| Provider Name | Elizabeth M Wainscott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898500 PECOS PAC ID: 5496062523 Enrollment ID: I20150922001093 |
| Provider Name | Simon Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477782860 PECOS PAC ID: 8325322753 Enrollment ID: I20170303000864 |
| Provider Name | Elizabeth A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114275153 PECOS PAC ID: 6901051234 Enrollment ID: I20170517002205 |
| Provider Name | Yennifer Lorena Molina Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548852411 PECOS PAC ID: 0749697886 Enrollment ID: I20210407002172 |
| Provider Name | Shannon Stuckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020677 PECOS PAC ID: 6901209618 Enrollment ID: I20210719002068 |
| Provider Name | Kristen Anne Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063001808 PECOS PAC ID: 7911395660 Enrollment ID: I20211028002223 |
| Provider Name | Sara Rose Caracostas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134901465 PECOS PAC ID: 4385092568 Enrollment ID: I20231128003737 |
Verimed Health Group Brandon, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Vonderburg Dr Ste 310, Brandon, FL 33511 Phone: 813-324-9463 Fax: 813-502-6385 | |
Medi Brandon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-654-1110 | |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 | |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 | |
Florida Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 | |
Care Plus Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519a E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-4100 | |
Imad Al-nakshabendi M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 S Kings Ave, Brandon, FL 33511 Phone: 813-972-3750 Fax: 813-972-3749 |