| Nicole Leclair, | |
|
701 6th St S, St Petersburg, FL 33701-4814 | |
| (727) 893-6288 | |
| (904) 244-7131 |
| Full Name | Nicole Leclair |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 10 Years |
| Location | 701 6th St S, St Petersburg, 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 |
|---|---|---|---|
| 1053871616 | NPI | - | NPPES |
| 118865900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS19761 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brandon Regional Hospital | Brandon, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Florida Anesthesiologists Llc | 3173711017 | 289 |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Leclair, 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 893-6288 | Nicole Leclair, 701 6th St S, St Petersburg, FL 33701-4814 Ph: (727) 893-6288 |
Geoffrey Boyajian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Ste A, St Petersburg, FL 33716 Phone: 727-823-2188 Fax: 727-828-0723 | |
Dr. Todd Kenneth Letzring, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-825-1053 | |
Jacqueline Y Biance, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 | |
Thor William Van Diver, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-2188 Fax: 727-828-0723 | |
Shivani M Patel, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 501 6th St S, St Petersburg, FL 33701 Phone: 727-898-7451 | |
Cindy K Hernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-3583 Fax: 727-767-8429 |