| Dr Pamela Rose Knickerbocker, DO | |
|
1006 W Pleasant St, Avon Park, FL 33825-2966 | |
| (863) 453-3121 | |
| (863) 452-2823 |
| Full Name | Dr Pamela Rose Knickerbocker |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 1006 W Pleasant St, Avon Park, 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 |
|---|---|---|---|
| 1164561353 | NPI | - | NPPES |
| 200182150A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A2012777 (California) | Secondary |
| 207Q00000X | Family Medicine | OS19486 (Florida) | Primary |
| 207Q00000X | Family Medicine | 4409 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Sebring | Sebring, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health System-sunbelt Inc | 0749232445 | 102 |
| Entity Name | Adventist Health System-sunbelt Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083692594 PECOS PAC ID: 0749232445 Enrollment ID: O20080401000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Rose Knickerbocker, DO 1035 Placer St, Redding, CA 96001-1125 Ph: (530) 246-5710 | Dr Pamela Rose Knickerbocker, DO 1006 W Pleasant St, Avon Park, FL 33825-2966 Ph: (863) 453-3121 |
Javier Ernesto Corea, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 | |
Kevin M Sherin, MD MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-452-2823 | |
Donald Blair Geldart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-452-2823 | |
Joanna Partyka, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-452-2823 | |
Betsy E Wood, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W Stryker Rd, Avon Park, FL 33825 Phone: 863-453-7400 Fax: 863-452-1981 | |
Mrs. Sheila Hernandez, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1006 W Pleasant St, Avon Park, FL 33825 Phone: 863-453-3121 Fax: 863-452-2823 |