| Jarvis Tzeng, Do, P.a. | |
|
428 Childers St Suite 23343 Pensacola FL 32534-9630 | |
| (540) 818-5752 | |
| (888) 819-9648 |
| Full Name | Jarvis Tzeng, Do, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 428 Childers St, Pensacola, Florida |
| Authorized Official Name and Position | Jarvis Tzeng (PRESIDENT) |
| Authorized Official Contact | 5408185752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarvis Tzeng, Do, P.a. 428 Childers St Suite 23343 Pensacola FL 32534-9630 Ph: (540) 818-5752 | Jarvis Tzeng, Do, P.a. 428 Childers St Suite 23343 Pensacola FL 32534-9630 Ph: (540) 818-5752 |
| NPI Number | 1104104488 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Medicare PECOS PAC ID | 8325210917 |
|---|---|
| Medicare Enrollment ID | O20111003000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104104488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jarvis A Tzeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811137722 PECOS PAC ID: 4587858956 Enrollment ID: I20111003000703 |
| Provider Name | Angela M Bribiescas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134435506 PECOS PAC ID: 0648446039 Enrollment ID: I20120106000276 |
| Provider Name | Jeanne Esther Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619395399 PECOS PAC ID: 3476865460 Enrollment ID: I20150706000444 |
| Provider Name | Leilani Mcglynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912180746 PECOS PAC ID: 9133305378 Enrollment ID: I20150819007289 |
| Provider Name | Andrea R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669274 PECOS PAC ID: 2062715998 Enrollment ID: I20160126002205 |
| Provider Name | Bernadette Marie Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569383 PECOS PAC ID: 8022312172 Enrollment ID: I20160210000558 |
| Provider Name | Hans J Hulsebos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619244704 PECOS PAC ID: 7416262258 Enrollment ID: I20171020002632 |
| Provider Name | Natalie A Krzyzanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023528353 PECOS PAC ID: 0446596233 Enrollment ID: I20190116000669 |
| Provider Name | Polly A West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885830 PECOS PAC ID: 1153669528 Enrollment ID: I20190208002685 |
| Provider Name | Svetlana Serebryanaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952870628 PECOS PAC ID: 0840531489 Enrollment ID: I20190409002726 |
| Provider Name | Kehart Flom Racoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962067363 PECOS PAC ID: 9032540174 Enrollment ID: I20200505003034 |
| Provider Name | Octavia T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967812 PECOS PAC ID: 3173934114 Enrollment ID: I20201124002089 |
| Provider Name | Brant E Kirk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477843605 PECOS PAC ID: 0749578912 Enrollment ID: I20210412001770 |
| Provider Name | Elena Nickolaevna Klimova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790346443 PECOS PAC ID: 8820482177 Enrollment ID: I20220302000864 |
| Provider Name | Anthony Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186419 PECOS PAC ID: 5496142051 Enrollment ID: I20220428002275 |
| Provider Name | Brittany Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861132235 PECOS PAC ID: 3971982174 Enrollment ID: I20220617001980 |
| Provider Name | Jasmine Atchison-saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205584992 PECOS PAC ID: 7315326469 Enrollment ID: I20220620001145 |
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