| Dr Kathie Kowalczyk, MD | |
|
2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | |
| (772) 595-5302 | |
| Not Available |
| Full Name | Dr Kathie Kowalczyk |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2401 Frist Blvd Ste 4, Fort Pierce, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639425986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME122157 (Florida) | Primary |
| Entity Name | Jupiter Medical Center Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396992475 PECOS PAC ID: 4284797069 Enrollment ID: O20090106000637 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20191014003264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathie Kowalczyk, MD 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 Ph: (772) 595-5302 | Dr Kathie Kowalczyk, MD 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 Ph: (772) 595-5302 |
Leah N. Evangelista, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 Fax: 772-468-4077 | |
Dr. Richard Charles Callison Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2402 Frist Blvd Ste 201, Fort Pierce, FL 34950 Phone: 772-460-8838 Fax: 772-460-8808 | |
Dr. Alan Ray Tesson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-467-3097 Fax: 772-467-4166 | |
Sureshchandra N. Desai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-468-5600 | |
Dr. Jude Desormeau, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1860 N Lawnwood Cir, Fort Pierce, FL 34950 Phone: 772-871-7800 Fax: 772-871-7822 | |
Dr. Veronica Martin-ocasio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4500 W Midway Rd, Fort Pierce, FL 34981 Phone: 772-672-8674 Fax: 772-429-2014 |