| West Coast Infectious Diseases Pa | |
|
8607 Easthaven Ct Ste 101 New Port Richey FL 34655-5217 | |
| (727) 669-6800 | |
| (727) 669-2540 |
| Full Name | West Coast Infectious Diseases Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8607 Easthaven Ct Ste 101, New Port Richey, Florida |
| Authorized Official Name and Position | Renee L Mancine (ADMINISTRATOR) |
| Authorized Official Contact | 7276696800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Infectious Diseases Pa 8607 Easthaven Ct Ste 101 New Port Richey FL 34655-5217 Ph: (727) 669-6800 | West Coast Infectious Diseases Pa 8607 Easthaven Ct Ste 101 New Port Richey FL 34655-5217 Ph: (727) 669-6800 |
| NPI Number | 1659483329 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 4880685627 |
|---|---|
| Medicare Enrollment ID | O20040520001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659483329 | NPI | - | NPPES |
| 274992100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Brent William Laartz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861437881 PECOS PAC ID: 2668364225 Enrollment ID: I20040327000376 |
| Provider Name | Todd M Groom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750326385 PECOS PAC ID: 1759300346 Enrollment ID: I20051114000129 |
| Provider Name | Pamela L Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134193709 PECOS PAC ID: 5991970204 Enrollment ID: I20111215000569 |
| Provider Name | Lily N Jones |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063649937 PECOS PAC ID: 2769637347 Enrollment ID: I20140528001226 |
| Provider Name | Jennifer Patterson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255586087 PECOS PAC ID: 0143366005 Enrollment ID: I20200506000295 |
| Provider Name | Alexis Jeanne Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346856275 PECOS PAC ID: 9032514872 Enrollment ID: I20210817003440 |
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