| Dr Rajivi Pothiraj Rucker, MD | |
|
1250 S Tamiami Trl Ste 302, Sarasota, FL 34239-2221 | |
| (941) 877-5983 | |
| (941) 957-0079 |
| Full Name | Dr Rajivi Pothiraj Rucker |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 28 Years |
| Location | 1250 S Tamiami Trl Ste 302, Sarasota, 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 |
|---|---|---|---|
| 1194721522 | NPI | - | NPPES |
| 48958 | Other | FL | FL BLUE |
| KI170 | Other | FL | MEDICARE |
| 004579100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME84160 (Florida) | Secondary |
| 207K00000X | Allergy & Immunology | ME84160 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Allergist Of Florida Llc | 9931232063 | 17 |
| Entity Name | Mcr Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
| Entity Name | Premier Allergist Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427237486 PECOS PAC ID: 9931232063 Enrollment ID: O20100727000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rajivi Pothiraj Rucker, MD 1250 S Tamiami Trl Ste 302, Sarasota, FL 34239-2221 Ph: (941) 877-5983 | Dr Rajivi Pothiraj Rucker, MD 1250 S Tamiami Trl Ste 302, Sarasota, FL 34239-2221 Ph: (941) 877-5983 |
Dr. Hugh H Windom, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3570 S Tuttle Ave, Sarasota, FL 34239 Phone: 941-927-4888 Fax: 941-927-5808 | |
Donna M Jamieson, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2650 Bahia Vista St, Ste 304, Sarasota, FL 34239 Phone: 941-366-9711 Fax: 941-957-0079 | |
Jean Marie Brown Ly, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3570 S Tuttle Ave, Sarasota, FL 34239 Phone: 941-927-4888 | |
Dr. Mildred Elena Pastorizo, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2200 Ringling Blvd, Sarasota, FL 34237 Phone: 941-861-2709 | |
Dr. Eva A Berkes, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2068 Hawthorne St, Suite 202, Sarasota, FL 34239 Phone: 941-953-5050 Fax: 941-343-8021 | |
Dr. Frederick L Bloom, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2650 Bahia Vista St, Ste 304, Sarasota, FL 34239 Phone: 941-366-9711 Fax: 941-957-0079 | |
Dr. Sharlene J Llanes, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Tamiami Trl Ste 302, Sarasota, FL 34239 Phone: 941-366-9711 |