| Sajida Mathew, MD | |
|
220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | |
| (321) 241-6800 | |
| (321) 241-6890 |
| Full Name | Sajida Mathew |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 220 Barton Blvd Unit C-14, Rockledge, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164510509 | NPI | - | NPPES |
| ME119338 | Other | FL | FL STATE LICENSE |
| 4848294 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME119338 (Florida) | Primary |
| Entity Name | Parwati Maddali Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184745788 PECOS PAC ID: 0446164867 Enrollment ID: O20031118001012 |
| Entity Name | Refresh Canopy Cove, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Sajida Mathew, MD Po Box 1137, Melbourne, FL 32902-1137 Ph: (321) 952-9696 | Sajida Mathew, MD 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 Ph: (321) 241-6800 |
Mr. Subramaniyam Vasudevan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1770 Cedar St, Rockledge, FL 32955 Phone: 321-890-1500 | |
Vaibhav Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1978 Us Highway 1 Ste 103, Rockledge, FL 32955 Phone: 321-345-6331 Fax: 321-345-3295 | |
Shawnna Lee Patterson, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 Coral Sands Dr Ste B, Rockledge, FL 32955 Phone: 321-345-6331 Fax: 213-453-2953 | |
Muhammed Wasim Niazi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1910 Rockledge Blvd, Unit 101, Rockledge, FL 32955 Phone: 321-636-8366 Fax: 321-636-3985 | |
Dr. Donald Sinclair Mccorquodale Iii, MD/PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 211 Coral Sands Dr Ste B, Rockledge, FL 32955 Phone: 321-345-6331 Fax: 321-345-3295 | |
Robert Matthias Scholl, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4185 Us Highway 1, Rockledge, FL 32955 Phone: 321-638-0027 |