Matthew J Pettit, APRN | |
3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 | |
(813) 441-6803 | |
(813) 524-6352 |
Full Name | Matthew J Pettit |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 3225 S Macdill Ave Ste 129-300, Tampa, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609115534 | NPI | - | NPPES |
P01970837 | Other | FL | RAILROAD MEDICARE |
102049900 | Medicaid | FL | |
Y0H23 | Other | FL | BCBS |
008757400 | Medicaid | FL | |
APRN9262459 | Other | FL | FL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN9262459 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN9262459 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay Area Neurology Llc | 8729341847 | 11 |
Entity Name | Chapters Health Palliative Care, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073683553 PECOS PAC ID: 2163516733 Enrollment ID: O20070913000741 |
Entity Name | Bay Area Neurology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255849055 PECOS PAC ID: 8729341847 Enrollment ID: O20231019000954 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Pettit, APRN 3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 Ph: (813) 441-6803 | Matthew J Pettit, APRN 3225 S Macdill Ave Ste 129-300, Tampa, FL 33629-8171 Ph: (813) 441-6803 |
Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808 | |
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000 | |
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511 | |
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230 | |
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401 | |
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 | |
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631 |