| Dr Ivana Gagula-latham, DO | |
|
201 14th St Sw, Largo, FL 33770-3133 | |
| (561) 699-2954 | |
| Not Available |
| Full Name | Dr Ivana Gagula-latham |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 9 Years |
| Location | 201 14th St Sw, Largo, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063861482 | NPI | - | NPPES |
| 107446400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS16761 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Ohi West Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518572551 PECOS PAC ID: 2668882507 Enrollment ID: O20201105000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivana Gagula-latham, DO 201 14th St Sw, Largo, FL 33770-3133 Ph: (561) 699-2954 | Dr Ivana Gagula-latham, DO 201 14th St Sw, Largo, FL 33770-3133 Ph: (561) 699-2954 |
Dr. Robert A. Levenson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
David Jabs, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 | |
Jonathan Dunn, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 Fax: 727-585-7205 | |
Jonathan Radin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8787 Bryan Dairy Rd, Largo, FL 33777 Phone: 727-394-5331 | |
Dr. Andrew Peters, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
Dr. Carl A Tandatnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-585-4619 |