| Jared Wishik, MD | |
|
5200 Seminole Blvd, St Petersburg, FL 33708-3356 | |
| (813) 321-1786 | |
| (813) 321-1787 |
| Full Name | Jared Wishik |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 9 Years |
| Location | 5200 Seminole Blvd, St Petersburg, 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 |
|---|---|---|---|
| 1922460161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 125069551 (Illinois) | Secondary |
| 207N00000X | Dermatology | M144461 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suncoast Skin Solutions | 7416018221 | 87 |
| Entity Name | Suncoast Skin Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487827416 PECOS PAC ID: 7416018221 Enrollment ID: O20081211000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Wishik, MD 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 | Jared Wishik, MD 5200 Seminole Blvd, St Petersburg, FL 33708-3356 Ph: (813) 321-1786 |
Dr. Milan Matthew Lombardi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2299 9th Ave N, Suite 1-d, St Petersburg, FL 33713 Phone: 727-328-1841 Fax: 727-328-2640 | |
Dr. Wanda M Boote, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2060 5th Ave N, St Petersburg, FL 33713 Phone: 727-895-3376 Fax: 727-362-3376 | |
Jonathan Cedric Thornton, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6499 38th Ave N, Suite B-2, St Petersburg, FL 33710 Phone: 727-347-6635 Fax: 727-343-0913 | |
Neha Chandan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2191 9th Ave N Ste 100, St Petersburg, FL 33713 Phone: 815-545-2740 Fax: 727-493-9945 | |
Vishnu Harikumar, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5253 Central Ave, St Petersburg, FL 33710 Phone: 727-388-6982 | |
Dr. James C. Mauch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 620 10th St N, St Petersburg, FL 33705 Phone: 727-824-7105 Fax: 727-824-7125 | |
Naomi G Johansen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-202-9442 Fax: 727-265-2507 |