| Andrea Susana Rita Alonso Succar, | |
|
1350 Hickory St, Melbourne, FL 32901-3224 | |
| (720) 298-0208 | |
| Not Available |
| Full Name | Andrea Susana Rita Alonso Succar |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1350 Hickory St, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215499801 | NPI | - | NPPES |
| TH672 | Other | FL | MEDICARE HF |
| 123462400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.146868 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | ME168516 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME168516 (Florida) | Primary |
| Entity Name | North East Ohio Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Susana Rita Alonso Succar, 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 434-1771 | Andrea Susana Rita Alonso Succar, 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (720) 298-0208 |
Jharana Patel, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940 Phone: 321-255-4003 Fax: 321-255-2728 | |
Stephanie Prada, MD. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8745 N Wickham Rd, Melbourne, FL 32940 Phone: 321-434-9358 Fax: 321-434-9170 | |
Ellora Jalali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Edeck S Pierre, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Linh T Van, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Lloyd Bennett, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Dr. Rossana Guerrero Garcia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |