Dr Shelley Sue Jaquish, MD | |
6827 First Avenue South, Suite 100, St Petersburg, FL 33707-4516 | |
(727) 341-0551 | |
(727) 341-0332 |
Full Name | Dr Shelley Sue Jaquish |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 29 Years |
Location | 6827 First Avenue South, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558329300 | NPI | - | NPPES |
280250 | Other | FL | AVMED |
2597386 | Other | FL | AETNA |
1000331 | Other | FL | UNITED HEALTH CARE |
220342 | Other | FL | AMERIGROUP |
01150 | Other | FL | BCBS |
261879600 | Medicaid | FL | |
3839012002 | Other | FL | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0602X | Otolaryngology - Otolaryngic Allergy | ME82762 (Florida) | Secondary |
207Y00000X | Otolaryngology | ME82762 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Anthonys Hospital | Saint petersburg, FL | Hospital |
Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
St Josephs Hospital | Tampa, FL | Hospital |
Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
Morton Plant Hospital | Clearwater, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent And Allergy Associates Of Florida, Llc | 0042292849 | 193 |
Entity Name | Ent And Allergy Associates Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164473120 PECOS PAC ID: 0042292849 Enrollment ID: O20040604000553 |
Entity Name | Select Physicians Alliance Pl |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902184781 PECOS PAC ID: 9436323516 Enrollment ID: O20111130000210 |
Mailing Address | Practice Location Address |
---|---|
Dr Shelley Sue Jaquish, MD 10002 Princess Palm Ave Ste 332, Tampa, FL 33619-8327 Ph: (813) 571-7184 | Dr Shelley Sue Jaquish, MD 6827 First Avenue South, Suite 100, St Petersburg, FL 33707-4516 Ph: (727) 341-0551 |
Dr. Ricardo Requena, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6827 1st Ave S Ste 100, St Petersburg, FL 33707 Phone: 727-341-0551 Fax: 727-341-0332 | |
Rose Stavinoha Trowbridge, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S, Suite 701, St Petersburg, FL 33701 Phone: 727-329-5400 Fax: 727-329-5402 | |
John P Roche, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 7th St S Ste 295, St Petersburg, FL 33701 Phone: 727-553-7100 Fax: 727-553-7198 | |
Dr. Andrew Robert Simonsen, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 Phone: 727-456-3288 Fax: 727-456-3289 | |
John S Morrow, MD P A Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1201 5th Ave N, Ste 304, St Petersburg, FL 33705 Phone: 727-820-7708 Fax: 727-820-7768 | |
Dr. Alla Solyar, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 550 94th Ave N, St Petersburg, FL 33702 Phone: 727-573-0074 Fax: 727-573-0076 | |
Dr. James Nesbit Endicott Ii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 555 4th Ave S, St Petersburg, FL 33701 Phone: 727-551-0800 Fax: 727-551-0801 |