| Shikerria Green, MD | |
|
6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | |
| (352) 795-6560 | |
| Not Available |
| Full Name | Shikerria Green |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 6201 N Suncoast Blvd, Crystal River, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871056879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME157860 (Florida) | Primary |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | W4p Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689116618 PECOS PAC ID: 9931489473 Enrollment ID: O20161129001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Shikerria Green, MD Po Box 140106, Gainesville, FL 32614-0106 Ph: () - | Shikerria Green, MD 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 Ph: (352) 795-6560 |
Dr. Edwin A Moore, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 800-424-3672 Fax: 954-377-3042 | |
Mary Sue Martin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 | |
Susana Wolmarans, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-576-5600 | |
Michael Maynor, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Seven Rivers Regional Medical Center, 6201 N.suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 Fax: 352-795-8369 | |
Dr. Maryanne L Kolar, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 |