Philip Leroy Shettle, DO | |
670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 | |
(727) 581-8755 | |
(727) 581-8756 |
Full Name | Philip Leroy Shettle |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 670 Clearwater Largo Rd N, Largo, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427056548 | NPI | - | NPPES |
046607700 | Medicaid | FL | |
81475 | Other | FL | BCBS OF FLORIDA |
185886390 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | OS 1590 (Florida) | Primary |
207W00000X | Ophthalmology | 29764 (Missouri) | Secondary |
Entity Name | Shettle Optical Solutions,inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598972077 PECOS PAC ID: 1254486350 Enrollment ID: O20090825000529 |
Mailing Address | Practice Location Address |
---|---|
Philip Leroy Shettle, DO 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 Ph: (727) 581-8755 | Philip Leroy Shettle, DO 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 Ph: (727) 581-8755 |
Philip Lee Shettle, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 13113 66th St, Largo, FL 33773 Phone: 727-674-2500 Fax: 727-674-2550 | |
Stacia H Goldey, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 148 13th St Sw, Largo, FL 33770 Phone: 727-581-8706 Fax: 727-588-2447 | |
Dr. Winston T Cope, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 148 13th St Sw, Largo, FL 33770 Phone: 727-642-0301 | |
Siddarth Rathi, MD, MBA Ophthalmology Medicare: Medicare Enrolled Practice Location: 148 13th St Sw, Largo, FL 33770 Phone: 727-581-8706 Fax: 727-588-2447 | |
Dr. Frank Seidl, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2770 E Bay Dr, Largo, FL 33771 Phone: 727-530-1425 | |
Robert Jay Weinstock, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 148 13th St Sw, Largo, FL 33770 Phone: 727-581-8706 Fax: 727-586-3743 |