Denise Ricketts (NPI# 1215163175, PAC ID# 8426213067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215163175 |
| PAC ID by PECOS | 8426213067 |
| Professional Enrollment ID | I20130510000450 |
| Full Name | Denise Ricketts |
| Organization Legal Name | ST LUCIE MEDICAL SPECIALISTS LLC |
| Address |
1713 Hwy 441 N Suite C Okeechobee FL 34972-1900 |
| Phone Number | 8634672159 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1456430487 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100252 | RAULERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 | 8634672159 | ST LUCIE MEDICAL SPECIALISTS LLC |
| Organization Legal Name | ST LUCIE MEDICAL SPECIALISTS LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khamphou Manivanh Mosley | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Ahmet Bahadir Ergin | Internal Medicine | St Lucie Medical Specialists LLC | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 |
| Anthony K Maharaj | Physician Assistant | St Lucie Medical Specialists LLC | 3425 S Highlands Ave, Sebring, FL 33870-5408 |
| Edward K Kankam | Family Medicine | St Lucie Medical Specialists LLC | 293 Nw Peacock Blvd, Suite 101 104, Port Saint Lucie, FL 34986-2222 |
| Kwabena K Pobi | Urology | St Lucie Medical Specialists LLC | 2341 Us Hwy 27 S, Sebring, FL 33870-4926 |
| Robert A Midence | Internal Medicine | St Lucie Medical Specialists LLC | 3700 Emergency Ln, Sebring, FL 33870-5536 |
| Tahir S Chaudhri | Orthopedic Surgery | St Lucie Medical Specialists LLC | 3427 S Highlands Ave, Sebring, FL 33870-5408 |
| Charles Azan | Pediatric Medicine | St Lucie Medical Specialists LLC | 140 Sw Chamber Ct, Suite 100, Port St Lucie, FL 34986-3414 |
| Oral A Waldo | Cardiovascular Disease (cardiology) | St Lucie Medical Specialists LLC | 1700 S 23rd St, Fort Pierce, FL 34950-4803 |
| Pablo H Tirado | Family Medicine | St Lucie Medical Specialists LLC | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 |
| Street Address |
1713 HWY 441 N SUITE C |
| City | OKEECHOBEE |
| State | FL |
| Zip | 34972-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leland M Heller | Family Medicine | 1713 Hwy 441 N, Suite E, Okeechobee, FL 34972-1900 | |
| James E Bradfield | Obstetrics/gynecology | Raulerson Gyn LLC | 1713 Hwy 441 N, Suite F, Okeechobee, FL 34972-1900 |
| Audreylyn Waldo | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Jay S Berger | Internal Medicine | Jay S Berger Md Pa | 1713 Hwy 441 N, Okeechobee, FL 34972 |
| Nancy Lynn Saunders | Nurse Practitioner | Jay S Berger Md Pa | 1713 Hwy 441 N, Suite D, Okeechobee, FL 34972 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khamphou Manivanh Mosley | Nurse Practitioner | St Lucie Medical Specialists LLC | 1713 Us Hwy 441 N, Suite C, Okeechobee, FL 34972-1900 |
| Carlos Alejo | General Surgery | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Christopher J Mavroides | Internal Medicine | 1713 Us Hwy 441 N, Suite A, Okeechobee, FL 34972-1900 | |
| Codi Craig | Physician Assistant | Palm Beach General Surgery LLC | 1713 Us Hwy 441 N, Suite H, Okeechobee, FL 34972-1900 |
| Manuel G Garcia | General Surgery | Gateway Medical Group Lc | 306 Ne 19th Dr, Okeechobee, FL 34972-1911 |
| Miguel Atillo Espiritu | Ophthalmology | 304 Ne 19th Dr, Okeechobee, FL 34972-1911 | |
| A Susan Nelson | Nurse Practitioner | 1646 Us Hwy 441 N, Okeechobee, FL 34972-1916 | |
| Simeon Usifo Osemota | Family Medicine | Big Water Emergency Physicians, LLC | 1796 Hwy 441 N, Okeechobee, FL 34972-1918 |
| Tamala D Parsons | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1796 Us Hwy 441 N, Okeechobee, FL 34972-1918 |
| Roman E Skylar | Emergency Medicine | Big Water Emergency Physicians, LLC | 1796 Hwy 441 N, Okeechobee, FL 34972-1918 |
| Find all physicians in zip 34972 | |||
| City | OKEECHOBEE |
| Zip Code | 34972 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OKEECHOBEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Denise Ricketts.
| 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.