| Braden Vanderwall, MD | |
|
5955 Rand Blvd, Sarasota, FL 34238-5160 | |
| (941) 552-7508 | |
| (941) 552-7605 |
| Full Name | Braden Vanderwall |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 5955 Rand Blvd, Sarasota, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770875114 | NPI | - | NPPES |
| 013600900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME121191 (Florida) | Primary |
| Entity Name | Connexis Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699002097 PECOS PAC ID: 2163550518 Enrollment ID: O20100506000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Braden Vanderwall, MD 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 552-7508 | Braden Vanderwall, MD 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 552-7508 |
Fadi Kayali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Cattlemen Rd, Suite 200, Sarasota, FL 34232 Phone: 941-377-9993 Fax: 941-343-0026 | |
Dr. Elijah Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-917-9000 | |
Dr. Eduardo Jose Lazaro, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5731 Bee Ridge Rd, Sarasota, FL 34233 Phone: 727-808-5824 | |
Dr. Scott D. Lunin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1970 Golf St, Sarasota, FL 34236 Phone: 941-957-1000 Fax: 941-951-2117 | |
Dr. Robert L Oppenheimer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Waldemere St, Suite 605, Sarasota, FL 34239 Phone: 941-917-8100 Fax: 941-917-6334 | |
Edward Renan Bermudez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Bee Ridge Rd, Bldg E, Suite F-201, Sarasota, FL 34233 Phone: 941-917-8744 Fax: 941-917-8749 | |
Dr. Stephen C Culp, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 S Tamiami Trl Ste 201, Sarasota, FL 34239 Phone: 941-929-7272 Fax: 941-929-1044 |