Dr Larry L Ertel, MD | |
620 10th St N Ste 1d, Saint Petersburg, FL 33705-1407 | |
(727) 824-7161 | |
(727) 824-7163 |
Full Name | Dr Larry L Ertel |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 620 10th St N Ste 1d, Saint 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 |
---|---|---|---|
1063479954 | NPI | - | NPPES |
64012636 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35650 (Kentucky) | Secondary |
208000000X | Pediatrics | 35650 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Morton Plant Hospital | Clearwater, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Medical Group, Inc. | 6406753623 | 1010 |
Entity Name | Baycare Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry L Ertel, MD 620 10th St N Ste 1d, Saint Petersburg, FL 33705-1407 Ph: (727) 824-7161 | Dr Larry L Ertel, MD 620 10th St N Ste 1d, Saint Petersburg, FL 33705-1407 Ph: (727) 824-7161 |
Aimen Elmehdi Ben Ayad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-4313 | |
Grace A Freire, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, 2nd Floor, Saint Petersburg, FL 33701 Phone: 727-767-3333 Fax: 727-767-8990 | |
Saba Ahmad, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-8181 | |
Dr. Ann Marie Szymanski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S Ste 504, Saint Petersburg, FL 33701 Phone: 727-767-7438 | |
Bhumika Patel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1800 Dr Martin Luther King Jr St N, Saint Petersburg, FL 33704 Phone: 813-873-1177 Fax: 631-444-2493 | |
Dr. Carrie Evans Herbert, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-3333 Fax: 727-767-8990 | |
Dr. Rafael Santiago, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 5th St S, 5th Floor, Dept 6941, Saint Petersburg, FL 33701 Phone: 727-767-8480 Fax: 727-767-8420 |