Ethan Paul Reid, APRN | |
1839 Central Ave., St. Petersburg, FL 33713-8900 | |
(727) 322-1054 | |
(727) 821-7213 |
Full Name | Ethan Paul Reid |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1839 Central Ave., St. 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 |
---|---|---|---|
1265951891 | NPI | - | NPPES |
S59UH | Other | FL | BCBS |
022437600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP9283538 (Florida) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | APRN9283538 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Freedom Square Health Care Center | Seminole, FL | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health First Primary Care Llc | 2062646227 | 3 |
Entity Name | Professional Healthcare Of Pinellas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881647253 PECOS PAC ID: 1658274675 Enrollment ID: O20040128000732 |
Entity Name | First Knight Medical Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780655647 PECOS PAC ID: 0143201269 Enrollment ID: O20040525001742 |
Entity Name | Health First Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609218098 PECOS PAC ID: 2062646227 Enrollment ID: O20131002000239 |
Mailing Address | Practice Location Address |
---|---|
Ethan Paul Reid, APRN 1839 Central Ave., St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 | Ethan Paul Reid, APRN 1839 Central Ave., St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 |
Kelsey Langford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8950 Dr M.l.k. Jr St N, Unit 102, St. Petersburg, FL 33702 Phone: 727-498-8898 | |
Mrs. Gail Lynn Davenport, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6017th St S, St. Petersburg, FL 33701 Phone: 727-893-6234 Fax: 727-553-7798 | |
Elisa Rosario Icaza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 66th St. N., Suite 510, St. Petersburg, FL 33710 Phone: 727-384-2479 Fax: 727-384-3573 | |
Ashley Gortemoller Briggs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 8th Street South, Suite A, St. Petersburg, FL 33701 Phone: 727-329-8830 Fax: 727-329-8840 | |
Marieta Georgieva Fryer, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1839 Central Ave, St. Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213 | |
Mrs. Susan Aileen Lewis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, St. Petersburg, FL 33708 Phone: 727-398-6661 |