| Imara-safi Olu Scott, MD | |
|
1632 Riggins Rd, Tallahassee, FL 32308-5316 | |
| (850) 877-4134 | |
| (850) 942-4112 |
| Full Name | Imara-safi Olu Scott |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 1632 Riggins Rd, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053801001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 318278 (New York) | Secondary |
| 207N00000X | Dermatology | ME170552 (Florida) | Primary |
| Entity Name | Mariwalla Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891094322 PECOS PAC ID: 5799962676 Enrollment ID: O20110601000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Imara-safi Olu Scott, MD Po Box 13834, Tallahassee, FL 32317-3834 Ph: (850) 205-6232 | Imara-safi Olu Scott, MD 1632 Riggins Rd, Tallahassee, FL 32308-5316 Ph: (850) 877-4134 |
David Pascoe, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1981 Capital Cir Ne, Tallahassee, FL 32308 Phone: 850-402-9444 Fax: 850-402-0188 | |
Dr. Armand B Cognetta Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1707 Riggins Rd, Tallahassee, FL 32308 Phone: 850-877-4134 Fax: 850-402-9130 | |
Dr. William Harris Green, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1707 Riggins Rd, Tallahassee, FL 32308 Phone: 850-877-4134 Fax: 850-402-9130 | |
Pamela Schofield Kennedy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1355 Thomaswood Dr, Tallahassee, FL 32308 Phone: 850-656-4555 Fax: 850-656-4557 | |
Emily Jacox, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 | |
Dr. Oen-hiang Cynthia Tie, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1981 Capital Cir Ne, Tallahassee, FL 32308 Phone: 850-402-9444 Fax: 850-402-0188 |