| Stanley S Sack, MD | |
|
1201 White St, Suite 103, Key West, FL 33040-3328 | |
| (305) 295-0598 | |
| (305) 295-0597 |
| Full Name | Stanley S Sack |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1201 White St, Key West, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962429449 | NPI | - | NPPES |
| 27232 | Other | HEALTHY START | |
| 784181 | Other | MVP HEALTH CARE | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 042472266 | Other | UNITED HEALTHCARE | |
| J07967 | Other | BLUE CROSS | |
| AA1178 | Other | HARVARD PILGRIM HEALTHCAR | |
| 4065772 | Other | AETNA US HEALTHCARE | |
| J07967 | Other | MEDICARE B | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 059258 | Other | TUFTS HEALTH PLAN | |
| 3031934 | Medicaid | MA | |
| 0068561 | Other | CIGNA HEALTH PLAN | |
| 042472266 | Other | THREE RIVERS | |
| 9900033 | Other | FALLON COMMUNITY HEALTH P | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 27232 | Other | CHILDRENS MEDICAL SECURIT | |
| 919679 | Other | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 59258 (Massachusetts) | Primary |
| Entity Name | Community Health Of South Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336152347 PECOS PAC ID: 6507770526 Enrollment ID: O20031118000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley S Sack, MD 1201 White St, Suite 103, Key West, FL 33040-3328 Ph: (305) 292-0598 | Stanley S Sack, MD 1201 White St, Suite 103, Key West, FL 33040-3328 Ph: (305) 295-0598 |
Steven Takas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 12th St, Ste 311, Key West, FL 33040 Phone: 305-295-6700 Fax: 305-295-6600 | |
Angela Renae Baldy, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1714 N Roosevelt Blvd, Key West, FL 33040 Phone: 305-293-4233 Fax: 305-293-4234 | |
Melanie E Youschak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3438 Duck Ave, Key West, FL 33040 Phone: 305-293-4233 | |
Dr. Jose M Texidor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 12th St, Suite 311, Key West, FL 33040 Phone: 305-295-6700 Fax: 305-295-6700 |