| Nicole Sunderland Anderson, MD | |
|
1235 San Marco Blvd, Suite 100, Jacksonville, FL 32207-8554 | |
| (904) 202-7020 | |
| (904) 202-7029 |
| Full Name | Nicole Sunderland Anderson |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 20 Years |
| Location | 1235 San Marco Blvd, Jacksonville, 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 |
|---|---|---|---|
| 1437331733 | NPI | - | NPPES |
| 003120545A | Medicaid | GA | |
| 004305000 | Medicaid | FL | |
| 14J0N | Other | FL | BCBS |
| 351861 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME 111558 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Radiation Therapy Center | 3678473477 | 2 |
| Entity Name | Georgetown Radiation Therapy Center |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1053304675 PECOS PAC ID: 3678473477 Enrollment ID: O20040120000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sunderland Anderson, MD Po Box 19675, Jacksonville, FL 32245-9675 Ph: (904) 309-8680 | Nicole Sunderland Anderson, MD 1235 San Marco Blvd, Suite 100, Jacksonville, FL 32207-8554 Ph: (904) 202-7020 |
Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334 | |
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858 | |
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318 | |
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482 | |
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Naciye Turan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-4202 |