Wanda M Boote (NPI# 1063517050, PAC ID# 1456345859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1063517050 |
PAC ID by PECOS | 1456345859 |
Professional Enrollment ID | I20040408001587 |
Full Name | Wanda M Boote |
Address |
2060 5th Ave N Saint Petersburg FL 33713-8012 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | DERMATOLOGY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2060 5th Ave N, Saint Petersburg, FL 33713-8012 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% |
Street Address |
2060 5TH AVE N |
City | SAINT PETERSBURG |
State | FL |
Zip | 33713-8012 |
Name | Specialty | Organization | Address |
---|---|---|---|
Archana Pudur | Family Medicine | Baycare Medical Group, Inc. | 3745 33rd St N, St Petersburg, FL 33713-1506 |
Mary Rose Tricamo | Nurse Practitioner | Baycare Medical Group, Inc. | 3745 33rd St N, St Petersburg, FL 33713-1506 |
Daniel Jeffrey Behn | Optometry | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
Stephen A Updegraff | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
Patrick Carrier | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
David C Klein | Ophthalmology | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
Robert E Wein | Certified Registered Nurse Anesthetist (crna) | 1601 38th Ave N, St Petersburg, FL 33713-1926 | |
Angela R Diamantakos | Optometry | The Eye Associates of Manatee, LLP. | 1601 38th Ave N, St Petersburg, FL 33713-1926 |
Amanda E Geary | Optometry | Southeast Eye Institute Pa | 1915 34th N St, Saint Petersburg, FL 33713-3605 |
Rachael L Seets | Physician Assistant | 1001 37th St N, Suite C, St Petersburg, FL 33713-6010 | |
Find all physicians in zip 33713 |
City | SAINT PETERSBURG |
Zip Code | 33713 |
Specialty | DERMATOLOGY |
City + Specialty | SAINT PETERSBURG + DERMATOLOGY |
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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.