| Dr Dale Wickstrom-hill, DO | |
|
200 Avenue F Ne, Winter Haven, FL 33881-4131 | |
| (352) 867-8898 | |
| (352) 732-6282 |
| Full Name | Dr Dale Wickstrom-hill |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 200 Avenue F Ne, Winter Haven, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538267471 | NPI | - | NPPES |
| 80933 | Other | FL | BLUE CROSS BLUE SHIELD |
| 003632900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | OS0006374 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Ocala | Ocala, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 849 |
| Anesthesia Dynamics Llc | 3779832530 | 615 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Anesthesia Associates Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578589909 PECOS PAC ID: 9537190723 Enrollment ID: O20050827000005 |
| Entity Name | Innovative Medical Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20230910000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Wickstrom-hill, DO Po Box 198096, Atlanta, GA 30384-8096 Ph: (352) 867-8898 | Dr Dale Wickstrom-hill, DO 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (352) 867-8898 |
Donald Richard Nettlow Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Jorge Ramon Villarreal, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2400 Dundee Rd, Winter Haven, FL 33884 Phone: 317-614-9863 Fax: 844-876-0873 | |
Kristen B Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 567 Avenue K Se, Winter Haven, FL 33880 Phone: 863-299-1231 Fax: 863-299-1233 | |
Victoria Bodaj, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1802 Columbia Dr, Winter Haven, FL 33881 Phone: 863-293-3115 | |
Dr. Mary Zoccoli, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 844-876-0873 | |
Antonio N. Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-294-8400 Fax: 863-294-8536 | |
Dr. Monika Lippold, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 567 Avenue K Se, Winter Haven, FL 33880 Phone: 863-299-1231 Fax: 866-299-1233 |