| Cedric D Shorter, MD | |
|
620 10th St N Ste 1d, St Petersburg, FL 33705-1407 | |
| (727) 828-8400 | |
| (727) 333-6435 |
| Full Name | Cedric D Shorter |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 20 Years |
| Location | 620 10th St N Ste 1d, 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 |
|---|---|---|---|
| 1194936096 | NPI | - | NPPES |
| 009597500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | ME117022 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Primecare Home Health | Saint petersburg, FL | Home health agency |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Neurosurgical Associates Of Tampa Bay Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528004934 PECOS PAC ID: 3779536685 Enrollment ID: O20050302000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedric D Shorter, MD 2995 Drew St Fl 2, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Cedric D Shorter, MD 620 10th St N Ste 1d, St Petersburg, FL 33705-1407 Ph: (727) 828-8400 |
Gerald Francis Tuite Jr., MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S, 5th Floor, St Petersburg, FL 33701 Phone: 727-767-8181 Fax: 727-767-8030 | |
John Casimir Drygas, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 Carillon Pkwy, Suite 402a, St Petersburg, FL 33716 Phone: 727-480-5151 | |
Theodore James Spinks, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-8181 Fax: 727-767-8030 | |
Carolyn M Carey, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S, 5th Floor, St Petersburg, FL 33701 Phone: 727-767-8181 Fax: 727-767-8030 | |
Luis Felipe Rodriguez, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S, 3rd Floor, St Petersburg, FL 33701 Phone: 727-767-8181 Fax: 727-767-8030 | |
Dr. Christopher J Koebbe, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5800 49th St N Ste 201, St Petersburg, FL 33709 Phone: 727-605-1770 Fax: 727-605-1080 |