| Kyle Scully, PA-C | |
|
4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | |
| (954) 771-8000 | |
| Not Available |
| Full Name | Kyle Scully |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 4725 N Federal Hwy, Fort Lauderdale, 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 |
|---|---|---|---|
| 1912481805 | NPI | - | NPPES |
| 105598100 | Medicaid | FL | |
| ON617 | Other | FL | HF MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9111560 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Viera Hospital | Melbourne, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group, Llc | 7416100672 | 701 |
| Entity Name | Health First Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Brevard Physician Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Entity Name | Holy Cross Emergency Physicians, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427021609 PECOS PAC ID: 5698786804 Enrollment ID: O20140522001737 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Scully, PA-C 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 Ph: Not Available | Kyle Scully, PA-C 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 Ph: (954) 771-8000 |
Tito Velasquez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304 Phone: 312-833-1183 |
Miss Kathy Ann Zimmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Jean L Tolson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308 Phone: 954-267-8777 Fax: 954-772-7801 |
Mrs. Ameeta Rana Kumar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Commercial Blvd, Fort Lauderdale, FL 33334 Phone: 954-351-0202 |
Neal Hodges Fouke, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ocean Blvd Ste C101, Fort Lauderdale, FL 33308 Phone: 754-270-6322 |
Matthew M Hendricks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2838 E. Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306 Phone: 954-564-0040 Fax: 954-217-3222 |
Karly Jean Marie Turgeon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6000 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-2551 |