| Dr Nicholas E Tisdale, MD | |
|
2351 Sw Martin Hwy, Palm City, FL 34990-3222 | |
| (772) 324-9337 | |
| (772) 324-9347 |
| Full Name | Dr Nicholas E Tisdale |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2351 Sw Martin Hwy, Palm City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962023754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME169907 (Florida) | Primary |
| 207R00000X | Internal Medicine | 22993 (Nevada) | Secondary |
| Entity Name | M & Y Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710527569 PECOS PAC ID: 6507044948 Enrollment ID: O20200121001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholas E Tisdale, MD 2351 Sw Martin Hwy, Palm City, FL 34990-3222 Ph: (772) 324-9337 | Dr Nicholas E Tisdale, MD 2351 Sw Martin Hwy, Palm City, FL 34990-3222 Ph: (772) 324-9337 |
Karely Cabrera, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3066 Sw Martin Downs Blvd, Palm City, FL 34990 Phone: 772-781-2791 Fax: 772-781-2792 | |
Michael S Sherman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3066 Sw Martin Downs Blvd, Unit 6 Ste C, Palm City, FL 34990 Phone: 772-781-2791 Fax: 772-781-2782 | |
Dr. Amy Karen Feder, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2381 Sw Racquet Cl Dr, Palm City, FL 34990 Phone: 772-486-4113 Fax: 772-286-5580 | |
Dr. Michael E. Maltman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1523 Sw Sea Holly Way, Palm City, FL 34990 Phone: 772-249-5256 Fax: 772-249-5274 | |
Dr. Rebecca A Prostko, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 938 Sw Martin Downs Blvd, Palm City, FL 34990 Phone: 772-223-6410 Fax: 772-223-0092 | |
Dr. Stephen Paul Cusumano, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6010 Sw Bald Eagle Drive, Palm City, FL 34990 Phone: 516-236-8357 Fax: 516-735-6121 |