| Diely Pichardo, MD | |
|
1430 S Pine St, Melbourne, FL 32901-3119 | |
| (321) 952-0898 | |
| (321) 722-1342 |
| Full Name | Diely Pichardo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 1430 S Pine 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 |
|---|---|---|---|
| 1194701573 | NPI | - | NPPES |
| 287612 | Other | FL | WELLCARE |
| 3789162 | Other | FL | AETNA |
| 03411 | Other | FL | BLUE CROSS BLUE SHIELD |
| 6000828001 | Other | FL | CIGNA |
| 7653665 | Other | FL | AETNA |
| 272209700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | ME91834 (Florida) | Primary |
| Entity Name | Cancer Care Centers Of Brevard Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467551762 PECOS PAC ID: 3274435102 Enrollment ID: O20040122000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Diely Pichardo, MD Po Box 534595, Atlanta, GA 30353-4595 Ph: (321) 255-2606 | Diely Pichardo, MD 1430 S Pine St, Melbourne, FL 32901-3119 Ph: (321) 952-0898 |
Dr. Nathan D Allison, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231 | |
Tomor Sedaliu, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 | |
Dr. Olga Dorjima Emgushov, MD,MPH Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Taha Dias, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1270 N Wickham Rd Ste 9, Melbourne, FL 32935 Phone: 321-567-2211 | |
Dr. Audrius J Bredikis, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 Fax: 321-956-2542 | |
Craig J Badolato, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1430 Pine St, Melbourne, FL 32901 Phone: 321-674-5050 Fax: 321-952-6296 | |
Dr. Timothy Orphanides, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2b, Melbourne, FL 32901 Phone: 321-549-0736 Fax: 321-952-2330 |