Charles T Dewberry (NPI# 1992728802, PAC ID# 6204895113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1992728802 |
| PAC ID by PECOS | 6204895113 |
| Professional Enrollment ID | I20091030000221 |
| Full Name | Charles T Dewberry |
| Organization Legal Name | K WADE FOSTER MDPA |
| Address |
836 Cr Suite 466 Lady Lake FL 32159-8804 |
| Phone Number | 3527504614 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3173663374 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 931 S Us Hwy 41, Inverness, FL 34450-6860 | 3526371310 | K WADE FOSTER MDPA |
| 836 Cr, Suite 466, Lady Lake, FL 32159-8804 | 3527504614 | K WADE FOSTER MDPA |
| Organization Legal Name | K WADE FOSTER MDPA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffanie Wong | Dermatology | K Wade Foster Mdpa | 609 Indian Rocks Rd, Belleair, FL 33756-2056 |
| Rebecca C. Tung | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Laura Ann Atallah | Nurse Practitioner | K Wade Foster Mdpa | 3200 Medical Way, Sebring, FL 33870-5419 |
| Jared T Simmons | Nurse Practitioner | K Wade Foster Mdpa | 1052 Downing Cir, Wauchula, FL 33873-3358 |
| Merrill Ann Hart | Physician Assistant | K Wade Foster Mdpa | 421 Linden Ln, Lake Wales, FL 33853-4342 |
| David Freitag | Dermatology | K Wade Foster Mdpa | 26800 S Tamiami Trl, Suite 360, Bonita Springs, FL 34134-4355 |
| Kenneth A Wallace Iii | Dermatology | K Wade Foster Mdpa | 836 Cr, Suite 466, Lady Lake, FL 32159-8804 |
| Cheryl L Campbell | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Christy A Merrick | Nurse Practitioner | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Kent W Foster | Dermatology | K Wade Foster Mdpa | 1450 6th St Se, Winter Haven, FL 33880-4505 |
| Street Address |
836 CR SUITE 466 |
| City | LADY LAKE |
| State | FL |
| Zip | 32159-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth A Wallace Iii | Dermatology | K Wade Foster Mdpa | 836 Cr, Suite 466, Lady Lake, FL 32159-8804 |
| Stephan Thornton | Nurse Practitioner | K Wade Foster Mdpa | 836 Cr, Suite 466, Lady Lake, FL 32159-8804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirmanj Faraj | Cardiovascular Disease (cardiology) | Cardiac Specialty Institute, LLC | 510 W Cr, Suite 466, Lady Lake, FL 32159 |
| Danny J Soares | Otolaryngology | Mesos LLC | 757 County Rd, Suite 466, Lady Lake, FL 32159 |
| Vinay Gutti | Ophthalmology | Central Florida Premier Eye Associates | 801 County Rd 466 Unit, Suite 102, Lady Lake, FL 32159 |
| Natalia Alejandro | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Maria Theresa S De Jesus | Nephrology | Quintina B. Corteza Md Pa | 777 County Rd, Suite 466, Lady Lake, FL 32159 |
| Judith C Milstead | Otolaryngology | Milstead Vaught Madonna and Freedman Pa | 1501 Us Hwy 441 N, Suite 1402, The Villages, FL 32159 |
| Alexander Smirnoff | Neurology | 729 County Rd, Suite 1100, Lady Lake, FL 32159 | |
| Norman S Novis | Internal Medicine | Norman S Novis Md Pa | 801 Hwy 466 B101, Lady Lake, FL 32159 |
| Nelly Rivera Ortiz | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Skivakumar S Hanubal | Obstetrics/gynecology | Florida Woman Care LLC | 741 Country Rd, Suite 466, Lady Lake, FL 32159 |
| Find all physicians in zip 32159 | |||
| City | LADY LAKE |
| Zip Code | 32159 |
| Specialty | DERMATOLOGY |
| City + Specialty | LADY LAKE + DERMATOLOGY |
Please comment or provide details below to improve the information on Charles T Dewberry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.