| Susan Wolcott, MD | |
|
540 The Rialto, Venice, FL 34285-2900 | |
| (941) 483-7449 | |
| Not Available |
| Full Name | Susan Wolcott |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 540 The Rialto, Venice, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407868060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME91944 (Florida) | Primary |
| Entity Name | Venice Emergency Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558379057 PECOS PAC ID: 1355245986 Enrollment ID: O20031125000011 |
| Entity Name | Global Physician Network Llc Series I |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316467525 PECOS PAC ID: 7214202365 Enrollment ID: O20170929000797 |
| Entity Name | Ies Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124788716 PECOS PAC ID: 8921485004 Enrollment ID: O20220510002828 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Wolcott, MD 4300 Wecoma Ave, North Port, FL 34287-2904 Ph: () - | Susan Wolcott, MD 540 The Rialto, Venice, FL 34285-2900 Ph: (941) 483-7449 |
Nicholas J Angelastro, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1511 Tamiami Trl S, Venice, FL 34285 Phone: 941-218-6839 Fax: 941-218-6813 | |
Dr. Brandon Lucas Coffey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12432 Davie Ct, Venice, FL 34293 Phone: 423-215-1485 | |
Dr. Neal Alan Kaforey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-485-7711 | |
Dr. Kieran T. Smart, MBCHB MPH MSC MRCGP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 220 Santa Maria St # F437, Venice, FL 34285 Phone: 281-744-8535 | |
Vincent Pflug, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 540 The Rialto, Venice, FL 34285 Phone: 941-483-7449 | |
Dr. Barry M Gordon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Commercial Ct Ste A, Venice, FL 34292 Phone: 941-484-5451 Fax: 941-484-5453 |