| Dr Patrick Lee Agdamag, MD | |
|
4691 Van Dyke Rd, Lutz, FL 33558 | |
| (813) 265-0643 | |
| Not Available |
| Full Name | Dr Patrick Lee Agdamag |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4691 Van Dyke Rd, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356420061 | NPI | - | NPPES |
| 000925900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TRN10152 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | ME104157 (Florida) | Primary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Emergency Specialists Of Wellington Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720038391 PECOS PAC ID: 7416978135 Enrollment ID: O20051209000314 |
| Entity Name | St. Joseph Emergency Medical Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358903 PECOS PAC ID: 5092718387 Enrollment ID: O20060818000119 |
| Entity Name | Emergency Services Of Zephyrhills Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265631097 PECOS PAC ID: 6204924921 Enrollment ID: O20071114000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Lee Agdamag, MD 4691 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 265-0643 | Dr Patrick Lee Agdamag, MD 4691 Van Dyke Rd, Lutz, FL 33558 Ph: (813) 265-0643 |
Dr. Michael Anthony Loguidice Sr., D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 23110 Sr 54 #328, Lutz, FL 33549 Phone: 727-808-7123 | |
David Vinh Degenhardt, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 18607 Avenue Monaco, Lutz, FL 33558 Phone: 813-455-1762 | |
Dr. Joseph Lee Braun, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4721 Rue Bordeaux, Lutz, FL 33558 Phone: 813-909-4510 | |
William A Downes, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22945 State Road 54, Lutz, FL 33549 Phone: 813-909-1822 | |
Dr. Bradley Scott Logan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22299 State Road 54 Ste 105, Lutz, FL 33549 Phone: 813-333-1516 |