Dr Brian Lawrence Mavretich, DO | |
6333 54th Ave N, St Petersburg, FL 33709-1703 | |
(727) 548-6100 | |
(727) 497-2322 |
Full Name | Dr Brian Lawrence Mavretich |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 7 Years |
Location | 6333 54th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013444512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | OS17981 (Florida) | Secondary |
208100000X | Physical Medicine & Rehabilitation | OS17981 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Medical Pain Management Llc | 8224195235 | 7 |
Entity Name | Florida Pain And Rehabilitation Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053363457 PECOS PAC ID: 6204732605 Enrollment ID: O20031219000145 |
Entity Name | Florida Medical Pain Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588852776 PECOS PAC ID: 8224195235 Enrollment ID: O20090318000623 |
Entity Name | National Surgical Centers Of America Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1770724122 PECOS PAC ID: 0143365205 Enrollment ID: O20100301000970 |
Entity Name | National Surgical Centers Of America Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1063853174 PECOS PAC ID: 0143365205 Enrollment ID: O20131219001320 |
Entity Name | National Surgical Centers Of America Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1992040976 PECOS PAC ID: 0143365205 Enrollment ID: O20140424001550 |
Entity Name | National Surgical Centers Of America Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1346662186 PECOS PAC ID: 0143365205 Enrollment ID: O20140424002084 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Lawrence Mavretich, DO 4385 48th Ave S, St Petersburg, FL 33711-4611 Ph: (248) 420-9942 | Dr Brian Lawrence Mavretich, DO 6333 54th Ave N, St Petersburg, FL 33709-1703 Ph: (727) 548-6100 |
James Lawrence Chinarian, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 880 6th St S, Ste 120, St Petersburg, FL 33701 Phone: 727-767-8547 Fax: 727-767-4319 | |
Dr. Michael K Coleman, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave., St Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213 | |
Dr. Amitabh P Gupta, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5800 49th St N, Suite S 205, St Petersburg, FL 33709 Phone: 727-526-8000 Fax: 727-521-2600 | |
Milagros Torres, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1700 66th St N, Suite 205, St Petersburg, FL 33710 Phone: 772-322-3524 | |
Ms. Kanta C Shah, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4600 4th Street North, St Petersburg, FL 33703 Phone: 727-527-5272 Fax: 727-522-7412 | |
Mr. Christopher Langebrake, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4600 4th St N, St Petersburg, FL 33703 Phone: 727-369-5039 | |
Glenn S Fuoco, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4600 4th St N, St Petersburg, FL 33703 Phone: 727-527-5272 Fax: 727-522-7412 |