| Vimornwan Sudhipong, MD | |
|
6500 W Newberry Rd, Gainesville, FL 32605-4309 | |
| (352) 333-4900 | |
| (904) 346-0113 |
| Full Name | Vimornwan Sudhipong |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 6500 W Newberry Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225055882 | NPI | - | NPPES |
| 882456662A | Medicaid | GA | |
| 26465 | Other | FL | BCBS |
| 930098050 | Other | FL | RAILROAD MEDICARE |
| 377247100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0060722 (Florida) | Primary |
| Entity Name | Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Vimornwan Sudhipong, MD Po Box 409036, Atlanta, GA 30384-9036 Ph: (352) 369-0948 | Vimornwan Sudhipong, MD 6500 W Newberry Rd, Gainesville, FL 32605-4309 Ph: (352) 333-4900 |
Dr. Jason Michael Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1329 Sw 16th St, Suite 4270, Gainesville, FL 32610 Phone: 352-265-5911 | |
Dr. Robyn Marie Hoelle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-5911 Fax: 352-265-5606 | |
Dr. Thomas Patrick Bentley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8813 Sw 14th Rd, Gainesville, FL 32607 Phone: 352-224-5972 | |
Dr. Jeffrey John Adams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-5911 Fax: 352-265-5606 | |
Dr. Bobby Kapil Desai, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-5911 | |
Dr. Jennifer K. Light, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-5911 Fax: 352-265-5606 | |
Lisa Merck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-5911 Fax: 352-265-5606 |