Jean A Vickers (NPI# 1477630648, PAC ID# 9032303573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
Nation Provider ID (NPI) | 1477630648 |
PAC ID by PECOS | 9032303573 |
Professional Enrollment ID | I20141021000449 |
Full Name | Jean A Vickers |
Organization Legal Name | MARTIN MEMORIAL PHYSICIANS CORPORATION |
Address |
1651 Se Tiffany Ave Port St Lucie FL 34952-7564 |
Phone Number | 7722235665 |
Gender | F |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2005 |
Primary Specialty | NEPHROLOGY |
Group Practice PAC ID | 7315833555 |
Number of Group Practice Members | 211 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100044 | MARTIN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
10080 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2129 | 7723443811 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 7722235665 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
2392 E Ocean Blvd, Stuart, FL 34996-3310 | 7722235628 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
2398 Se Ocean Blvd, Stuart, FL 34996-3310 | 7724194834 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
509 Riverside Dr, Suite 305, Stuart, FL 34994-2579 | 7722235665 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
509 Se Riverside Dr, Stuart, FL 34994-2579 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
Organization Legal Name | MARTIN MEMORIAL PHYSICIANS CORPORATION |
Physicians | 208 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul E Bower | Urology | Martin Memorial Physicians Corporation | 2398 Se Ocean Blvd, Stuart, FL 34996-3310 |
Anthony J Liberatore | Endocrinology | Martin Memorial Physicians Corporation | 2150 Se Salerno Rd, Stuart, FL 34997-6572 |
Konstantin Alekseyenko Sr. | Family Medicine | Martin Memorial Physicians Corporation | 10080 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2129 |
Valerie Rasberry | Family Medicine | Martin Memorial Physicians Corporation | 3066 Sw Martin Down S Blvd, Unit 6 Suite C, Palm City, FL 34990-2683 |
Erika Madrigal Hoyos | Gastroenterology | Martin Memorial Physicians Corporation | 509 Riverside Dr, Suite 305, Stuart, FL 34994-2579 |
Corbin T Hodder | Pulmonary Disease | Martin Memorial Physicians Corporation | 2392 E Ocean Blvd, Stuart, FL 34996-3310 |
Candy Jones | Nurse Practitioner | Martin Memorial Physicians Corporation | 440 Se Osceola St, Stuart, FL 34994-2500 |
Gaurav R Shah | Nephrology | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
Carlos Vinas Palomino | Internal Medicine | Martin Memorial Physicians Corporation | 11600 Se Federal Hwy, Hobe Sound, FL 33455-5213 |
Edwin B Flanagan | Gastroenterology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Street Address |
1651 SE TIFFANY AVE |
City | PORT ST LUCIE |
State | FL |
Zip | 34952-7564 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edwin B Flanagan | Gastroenterology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Celso E. Pineiro | Gastroenterology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Isabel Teresa Casariego Cruz | Family Medicine | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Anis Yousif Akrawi | Nephrology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Jeffrey Lee Glickman | Nephrology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Brian Ridgely | Physician Assistant | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Juan M Castro | Gastroenterology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Amy A Ezbianski | Nurse Practitioner | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Robert J Barry | Internal Medicine | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Edward F Kellenberger | Neurology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
Find all physicians in zip 34952 |
City | PORT ST LUCIE |
Zip Code | 34952 |
Specialty | NEPHROLOGY |
City + Specialty | PORT ST LUCIE + NEPHROLOGY |
Please comment or provide details below to improve the information on Jean A Vickers.
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.