Dr Nick William Parilla, MD | |
1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 | |
(727) 456-4250 | |
(727) 346-1044 |
Full Name | Dr Nick William Parilla |
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Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 1033 Dr Martin Luther King Jr St N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649208430 | NPI | - | NPPES |
02695196 | Medicaid | NY | |
AM572Z | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 237288 (New York) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | ME102225 (Florida) | Primary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
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Dr Nick William Parilla, MD 1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 Ph: (727) 456-4250 | Dr Nick William Parilla, MD 1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 Ph: (727) 456-4250 |
Dr. Stephen Rogers Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636 | |
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 | |
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444 | |
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285 | |
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176 |