| Dr Luby A Sidoff Iii, MD | |
|
1200 7th Ave N, St Petersburg, FL 33705-1300 | |
| (727) 825-1100 | |
| Not Available |
| Full Name | Dr Luby A Sidoff Iii |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 13 Years |
| Location | 1200 7th Ave N, 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 |
|---|---|---|---|
| 1801235627 | NPI | - | NPPES |
| LN359 | Other | FL | FL MEDICARE PTAN |
| 025169800 | Medicaid | FL | |
| P02532303 | Other | FL | FL RAILROAD MEDICARE PTAN |
| EYGWG | Other | FL | FL BCBS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
| Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
| Riverside Doctors' Hospital Of Williamsburg | Williamsburg, VA | Hospital |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of St Petersburg Pa | 2365413242 | 21 |
| Baycare Outpatient Imaging Llc | 3577804087 | 73 |
| Stern Drake Isbell And Associates Pa | 3779480835 | 65 |
| St Josephs Diagnostic Center Llc | 3779484928 | 83 |
| Peninsula Radiological Associates Limited | 5991603573 | 54 |
| St Anthonys Professional Buildings And Services Inc | 6507849239 | 22 |
| Entity Name | Stern Drake Isbell & Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903398 PECOS PAC ID: 3779480835 Enrollment ID: O20031217000029 |
| Entity Name | St Josephs Diagnostic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558342998 PECOS PAC ID: 3779484928 Enrollment ID: O20040120000332 |
| Entity Name | St Anthonys Professional Buildings & Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639150063 PECOS PAC ID: 6507849239 Enrollment ID: O20040611001120 |
| Entity Name | Radiology Associates Of St Petersburg Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922012244 PECOS PAC ID: 2365413242 Enrollment ID: O20060206000647 |
| Entity Name | Baycare Outpatient Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417423377 PECOS PAC ID: 3577804087 Enrollment ID: O20190410002311 |
| Entity Name | Peninsula Radiological Associates Limited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114030426 PECOS PAC ID: 5991603573 Enrollment ID: O20240531003862 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luby A Sidoff Iii, MD Po Box 919379, Orlando, FL 32891-9379 Ph: (844) 453-1406 | Dr Luby A Sidoff Iii, MD 1200 7th Ave N, St Petersburg, FL 33705-1300 Ph: (727) 825-1100 |
Dr. Richard A. Leverone, DC Radiology Medicare: Not Enrolled in Medicare Practice Location: 5136 Central Ave, St Petersburg, FL 33707 Phone: 727-579-2500 Fax: 727-579-3433 | |
Natalia Dolin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-767-3318 | |
Dr. John J. O'brien, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 747 6th Ave S, St Petersburg, FL 33701 Phone: 727-898-3647 | |
Dr. Vincent B Rowley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 | |
Dr. Matthew J Rahaim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1100 Fax: 727-827-5155 | |
Dr. Lowell Dean Dawson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S Ste 400, St Petersburg, FL 33701 Phone: 727-893-6435 Fax: 727-893-6436 | |
Sally E Mitchell, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3318 |