Rebecca C. Tung (NPI# 1174574941, PAC ID# 6002827599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1174574941 |
| PAC ID by PECOS | 6002827599 |
| Professional Enrollment ID | I20190125002707 |
| Full Name | Rebecca C. Tung |
| Organization Legal Name | K WADE FOSTER MDPA |
| Address |
1450 6th St Se Winter Haven FL 33880-4505 |
| Phone Number | 8632932147 |
| Gender | F |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1996 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3173663374 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2502 Sand Mine Rd, Davenport, FL 33897-3402 | 8635479670 | K WADE FOSTER MDPA |
| 1450 6th St Se, Winter Haven, FL 33880-4505 | 8632932147 | 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 |
| 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 |
| Amy M Goetz | Physician Assistant | K Wade Foster Mdpa | 421 Linden Ln, Lake Wales, FL 33853-4342 |
| Street Address |
1450 6TH ST SE |
| City | WINTER HAVEN |
| State | FL |
| Zip | 33880-4505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan C Honculada | Pain Management | 537 Central Ave E, Suite B, Winter Haven, FL 33880 | |
| Jayanth Bolaram | Psychiatry | 198 1st St S, Winter Haven, FL 33880-3004 | |
| Michael G Ort | Ophthalmology | Bond Clinic Pa | 506 Ave A Se, Winter Haven, FL 33880-3031 |
| Maria I Martino Villanueva | Obstetrics/gynecology | Gessler Clinic Professional Association | 450 E Central Ave, Winter Haven, FL 33880-3050 |
| Kevin L Henne | Optometry | Family Eyecare of Winter Haven Pllc | 410 E Central Ave, Winter Haven, FL 33880-3050 |
| Jose Martinez-salas | Pulmonary Disease | Gessler Clinic Professional Association | 440 Central Ave E, Winter Haven, FL 33880-3050 |
| Lisa Jardine | Obstetrics/gynecology | Gessler Clinic Professional Association | 440 Central Ave E, Winter Haven, FL 33880-3050 |
| Allison M Schneider | Optometry | Family Eyecare of Winter Haven Pllc | 410 E Central Ave, Winter Haven, FL 33880-3050 |
| Kimberly J Jensen | Nurse Practitioner | Florida Woman Care LLC | 427 E Central Ave, Winter Haven, FL 33880-3051 |
| Marc Feldman | Podiatry | Bond Clinic Pa | 401 E Central Ave, Winter Haven, FL 33880-3051 |
| Find all physicians in zip 33880 | |||
| City | WINTER HAVEN |
| Zip Code | 33880 |
| Specialty | DERMATOLOGY |
| City + Specialty | WINTER HAVEN + 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.