| Dr Raymond R Knisley, DO | |
|
1255 State Road 60 E Ste 100, Lake Wales, FL 33853-4310 | |
| (863) 589-5685 | |
| (863) 589-5639 |
| Full Name | Dr Raymond R Knisley |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 1255 State Road 60 E Ste 100, Lake Wales, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932189008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | OS12508 (Florida) | Secondary |
| 207N00000X | Dermatology | OS12508 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-florida Dermatology Associates Pa | 1254233786 | 46 |
| Entity Name | Mid-florida Dermatology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619018561 PECOS PAC ID: 1254233786 Enrollment ID: O20051018000717 |
| Entity Name | We Care Family Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730777053 PECOS PAC ID: 1951716596 Enrollment ID: O20210212001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raymond R Knisley, DO 7652 Ashley Park Ct Ste 305, Orlando, FL 32835-6199 Ph: (407) 299-7333 | Dr Raymond R Knisley, DO 1255 State Road 60 E Ste 100, Lake Wales, FL 33853-4310 Ph: (863) 589-5685 |
Dr. Brandon Tyler Worley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 Linden Ln, Lake Wales, FL 33853 Phone: 855-353-7546 Fax: 863-676-1015 | |
Eduvigia Ancaya, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1611 State Road 60 E, Lake Wales, FL 33853 Phone: 863-676-6007 Fax: 863-676-7659 | |
Stephen J Plumb, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 Linden Ln, Lake Wales, FL 33853 Phone: 855-353-7546 Fax: 863-676-1015 |