| Kevin Joseph Vaccarello, PA-C | |
|
10251 W Commercial Blvd, Sunrise, FL 33351-4326 | |
| (954) 580-4100 | |
| Not Available |
| Full Name | Kevin Joseph Vaccarello |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 10251 W Commercial Blvd, Sunrise, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467928598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111495 (Florida) | Primary |
| 363A00000X | Physician Assistant | 67393 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Solantic/south Florida Llc | 5496762171 | 27 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Solantic/south Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic of Jacksonville LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | West Boynton Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003172628 PECOS PAC ID: 0941456537 Enrollment ID: O20120815000049 |
| Entity Name | Carespot of Orlando Hsi Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| 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 |
|---|---|
| Kevin Joseph Vaccarello, PA-C 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: Not Available | Kevin Joseph Vaccarello, PA-C 10251 W Commercial Blvd, Sunrise, FL 33351-4326 Ph: (954) 580-4100 |
Laurel Elizabeth Lehman, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4279 N Pine Island Rd, Sunrise, FL 33351 Phone: 954-741-4280 Fax: 954-741-4912 |
Steven John Sager, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1613 Nw 136th Ave, Suite 200, Sunrise, FL 33323 Phone: 800-437-2672 |
Ms. Susan Nancy Odell, PAC CDE Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8399 W Oakland Park Boulevard, Suite A, Sunrise, FL 33351 Phone: 954-741-4181 Fax: 954-746-8699 |
Ms. Nicole Marie Chong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1613 Nw 136th Ave, Suite 200, Sunrise, FL 33323 Phone: 800-437-2672 Fax: 281-851-1416 |
Gargi Gharat, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8890 W Oakland Park Blvd, Sunrise, FL 33351 Phone: 954-741-3304 |
Heather Morales, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9041 Nw 24th St, Sunrise, FL 33322 Phone: 954-213-5351 |
Natalia Rosario, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10081 W Oakland Park Blvd Unit 1, Sunrise, FL 33351 Phone: 954-578-6858 |