Kiersten Rial Hartlage, MD | |
5259 Village Market, Wesley Chapel, FL 33544 | |
(813) 973-0333 | |
(813) 973-2313 |
Full Name | Kiersten Rial Hartlage |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5259 Village Market, Wesley Chapel, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811151780 | NPI | - | NPPES |
003808200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME106588 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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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 |
---|---|
Kiersten Rial Hartlage, MD 4033 Tampa Rd Ste 101, Oldsmar, FL 34677-3224 Ph: (813) 854-2003 | Kiersten Rial Hartlage, MD 5259 Village Market, Wesley Chapel, FL 33544 Ph: (813) 973-0333 |
Dr. Christine C Booth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 32075 Wenlock Loop, Wesley Chapel, FL 33543 Phone: 727-642-9225 | |
Dr. Beena Mathews Wilkins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5259 Village Market, Wesley Chapel, FL 33544 Phone: 813-973-0333 Fax: 813-973-2313 | |
Ayele Hadero, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Bruce B Downs Blvd, Wesley Chapel, FL 33544 Phone: 813-929-5000 | |
Kousalya Sara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Healing Way Ste 303, Wesley Chapel, FL 33543 Phone: 813-929-5380 Fax: 813-929-5991 | |
Dr. Sylvia Elisabeth Arroyo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Bruce B Downs Blvd, Wesley Chapel, FL 33544 Phone: 813-929-5000 | |
Dr. Siva Prasanna Tadisetti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2615 Windguard Cir, Ste 102, Wesley Chapel, FL 33544 Phone: 813-333-3331 Fax: 813-466-7482 | |
Dr. Nancy M Silva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2527 Windguard Cir, Suite 102, Wesley Chapel, FL 33544 Phone: 813-907-8001 Fax: 813-907-5744 |