| Ms Vicki Siedlack, NP | |
|
4016 Sun City Center Blvd, Sun City Center, FL 33573-5256 | |
| (813) 634-3301 | |
| Not Available |
| Full Name | Ms Vicki Siedlack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 4016 Sun City Center Blvd, Sun City Center, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689682262 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3099632 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Observation Medical Group Llc | 3779872627 | 51 |
| Emergency Medical Associates Of Tampa Bay Llc | 3678746674 | 84 |
| Entity Name | Emergency Medical Associates of Tampa Bay LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
| Entity Name | Observation Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763682 PECOS PAC ID: 3779872627 Enrollment ID: O20160516001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vicki Siedlack, NP 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (800) 424-3672 | Ms Vicki Siedlack, NP 4016 Sun City Center Blvd, Sun City Center, FL 33573-5256 Ph: (813) 634-3301 |
Barbara H Adamiak, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4051 Upper Creek Dr Ste 103b, Sun City Center, FL 33573 Phone: 813-633-3955 Fax: 813-633-0441 |
Jeanne Michele Maiello, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 938 Cypress Village Blvd Ste A, Sun City Center, FL 33573 Phone: 813-333-5080 Fax: 813-773-7717 |
Christina Bowens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4874 Sun City Center Blvd, Sun City Center, FL 33573 Phone: 813-419-1220 Fax: 813-419-1250 |
Yetne Sotero Ofarrill, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1647 Sun City Center Plz Ste 104, Sun City Center, FL 33573 Phone: 813-278-7796 Fax: 813-379-2479 |
Tess Lins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 957 E Del Webb Blvd Ste 101, Sun City Center, FL 33573 Phone: 813-634-1484 |
Mr. Leonel Antoine Jeune, FNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4016 Sun City Center Blvd, Sun City Center, FL 33573 Phone: 224-425-2493 |
Alicia Garcia, MSN,APRN,PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7315 Tiger Trail Ct, Sun City Center, FL 33573 Phone: 305-336-3519 |