| Ilicia Lauren Shugarman, MD | |
|
700 3rd St Ste 302, Neptune Beach, FL 32266-5082 | |
| (904) 997-3800 | |
| (904) 997-3899 |
| Full Name | Ilicia Lauren Shugarman |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 17 Years |
| Location | 700 3rd St Ste 302, Neptune Beach, 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 |
|---|---|---|---|
| 1659506319 | NPI | - | NPPES |
| 014413900 | Medicaid | FL | |
| 14ZM4 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | TRN13818 (Florida) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | ME122974 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cancer Specialists Llc | 9133377948 | 45 |
| Entity Name | Cancer Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilicia Lauren Shugarman, MD 7015 A C Skinner Pkwy, Suite 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113 | Ilicia Lauren Shugarman, MD 700 3rd St Ste 302, Neptune Beach, FL 32266-5082 Ph: (904) 997-3800 |
Edith Maria Ortega, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 528 Oceanfront, Neptune Beach, FL 32266 Phone: 904-887-3823 | |
Daniel A Kobrinski, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 700 3rd St Ste 302, Neptune Beach, FL 32266 Phone: 904-997-3800 Fax: 904-997-3899 |