| Alexander Pushka Md Pa | |
|
7369 Sheridan St Ste 203 Hollywood FL 33024-2776 | |
| (954) 983-5330 | |
| (954) 983-5086 |
| Full Name | Alexander Pushka Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7369 Sheridan St Ste 203, Hollywood, Florida |
| Authorized Official Name and Position | Alexander Pushka (OWNER) |
| Authorized Official Contact | 9545791110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Pushka Md Pa 7369 Sheridan St Ste 203 Hollywood FL 33024-2776 Ph: (954) 983-5330 | Alexander Pushka Md Pa 7369 Sheridan St Ste 203 Hollywood FL 33024-2776 Ph: (954) 983-5330 |
| NPI Number | 1205101862 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Medicare PECOS PAC ID | 1850554163 |
|---|---|
| Medicare Enrollment ID | O20120524000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205101862 | NPI | - | NPPES |
| 004704500 | Other | FL | GROUP MEDICAID NUMBER |
| Provider Name | Alexander Pushka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992793384 PECOS PAC ID: 2567426901 Enrollment ID: I20041116000682 |
| Provider Name | Muhammad Kashif Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850863 PECOS PAC ID: 6507103272 Enrollment ID: I20190204001548 |
| Provider Name | Kevin K Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396369716 PECOS PAC ID: 3678983202 Enrollment ID: I20201110000825 |
| Provider Name | Pavielle Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497179592 PECOS PAC ID: 3870904402 Enrollment ID: I20201202002492 |
| Provider Name | Yinka Shuntina Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470038 PECOS PAC ID: 8921411760 Enrollment ID: I20210115000343 |
| Provider Name | Marion Marie Codling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205308376 PECOS PAC ID: 6406269117 Enrollment ID: I20210119000554 |
| Provider Name | Oscar Calvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336848712 PECOS PAC ID: 2961868930 Enrollment ID: I20230517000868 |
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