Timothy Nyckowski, DO | |
7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591 | |
(407) 706-1770 | |
Not Available |
Full Name | Timothy Nyckowski |
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Gender | Male |
Speciality | Dermatology |
Experience | 5 Years |
Location | 7560 Red Bug Lake Rd Ste 1014, Oviedo, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1003313735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | OS16707 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Skin Cancer Surgery Center, Llc | 3779866579 | 9 |
Entity Name | Dermatology And Skin Cancer Surgery Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174078281 PECOS PAC ID: 3779866579 Enrollment ID: O20170201001161 |
Mailing Address | Practice Location Address |
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Timothy Nyckowski, DO 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591 Ph: () - | Timothy Nyckowski, DO 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765-6591 Ph: (407) 706-1770 |
Alicia Nunez, APRN Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Broadway St Ste 206, Oviedo, FL 32765 Phone: 407-542-0100 Fax: 407-992-7701 | |
Jere Mammino, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1410 W Broadway St Ste 102, Oviedo, FL 32765 Phone: 407-359-2100 Fax: 407-359-5445 | |
Jeffrey Glenn Moskowitz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Broadway St, Suite 206, Oviedo, FL 32765 Phone: 407-581-2888 Fax: 407-992-7701 | |
Bianca Moon, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 1486 Swanson Dr, Oviedo, FL 32765 Phone: 407-853-8575 | |
Amanda Courtni Hulce, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7560 Red Bug Lake Rd Ste 1014, Oviedo, FL 32765 Phone: 407-706-1770 Fax: 407-706-1777 |