| Internal Medicine & Pediatrics Of Tampa Bay Pa | |
|
10111 Wilsky Blvd Tampa FL 33625 | |
| (813) 961-2222 | |
| (813) 961-2220 |
| Full Name | Internal Medicine & Pediatrics Of Tampa Bay Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10111 Wilsky Blvd, Tampa, Florida |
| Authorized Official Name and Position | Frank D Demery (TREASURER) |
| Authorized Official Contact | 8139612222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Pediatrics Of Tampa Bay Pa 10111 Wilsky Blvd Tampa FL 33625 Ph: (813) 961-2222 | Internal Medicine & Pediatrics Of Tampa Bay Pa 10111 Wilsky Blvd Tampa FL 33625 Ph: (813) 961-2222 |
| NPI Number | 1508816786 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 01/10/2013 |
| Medicare PECOS PAC ID | 1951309970 |
|---|---|
| Medicare Enrollment ID | O20070328000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508816786 | NPI | - | NPPES |
| 267054200 | Medicaid | FL | |
| 267056900 | Medicaid | FL | |
| 267055100 | Medicaid | FL |
| Provider Name | Mark Bilella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447200803 PECOS PAC ID: 5092819227 Enrollment ID: I20070328000511 |
| Provider Name | Frank Demery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376592956 PECOS PAC ID: 7719081942 Enrollment ID: I20070328000522 |
| Provider Name | Karen Ackley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356367379 PECOS PAC ID: 5294873618 Enrollment ID: I20091105000046 |
| Provider Name | Tera Christine Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356638118 PECOS PAC ID: 5496926537 Enrollment ID: I20110921000031 |
| Provider Name | Laura Anne Levitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225327117 PECOS PAC ID: 0749502375 Enrollment ID: I20141209001997 |
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