| Kenneth Richards, PA | |
|
1356 Nw Boca Raton Blvd, Boca Raton, FL 33432-1609 | |
| (864) 625-3376 | |
| Not Available |
| Full Name | Kenneth Richards |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1356 Nw Boca Raton Blvd, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134699911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006861 (Illinois) | Primary |
| Entity Name | Attica Chang MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992946974 PECOS PAC ID: 0749337335 Enrollment ID: O20090420000057 |
| Entity Name | Florida Dermatology Specialists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164140521 PECOS PAC ID: 5890163182 Enrollment ID: O20221117000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Richards, PA 25012 Diana Ct, Plainfield, IL 60544-7165 Ph: (815) 666-6114 | Kenneth Richards, PA 1356 Nw Boca Raton Blvd, Boca Raton, FL 33432-1609 Ph: (864) 625-3376 |
Mrs. Stefanie Samantha Gold Mayer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4601 N Federal Hwy, Boca Raton, FL 33431 Phone: 561-362-8000 Fax: 561-447-6806 |
Ms. Laura Lee Hartman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1905 Clint Moore Rd Ste 309, Boca Raton, FL 33496 Phone: 561-988-8988 Fax: 561-912-1804 |
Jacquie Lynn Mathai, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 370 Camino Gardens Blvd, Boca Raton, FL 33432 Phone: 954-456-4777 |
Carolina Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9970 Central Park Blvd N Ste 101, Boca Raton, FL 33428 Phone: 561-488-2700 Fax: 877-258-1237 |
Sara Taylor Stranieri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 670 Glades Rd Ste 200, Boca Raton, FL 33431 Phone: 561-495-9511 Fax: 561-990-7426 |
Mirna Antonieta Waidele, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7100 W Camino Real, Suite 200, Boca Raton, FL 33433 Phone: 561-391-6552 Fax: 561-391-6285 |
Rachel Haya Neuman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21301 Powerline Rd, Boca Raton, FL 33433 Phone: 713-552-3772 |