| Jana Petra, MD | |
|
1000 Waterman Way, Tavares, FL 32778-5266 | |
| (352) 253-3333 | |
| Not Available |
| Full Name | Jana Petra |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 59 Years |
| Location | 1000 Waterman Way, Tavares, 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 |
|---|---|---|---|
| 1588731954 | NPI | - | NPPES |
| 200365040 | Medicaid | IN | |
| 000000586017 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01051788A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | ME103317 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nature Coast Anesthesia Providers Pa | 2163471723 | 20 |
| Ophthalmology Anesthesia Services Llc | 3870491038 | 6 |
| Mills Ave Anesthesia Llc | 5395025662 | 5 |
| Entity Name | Ophthalmology Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741753 PECOS PAC ID: 3870491038 Enrollment ID: O20031224000037 |
| Entity Name | Nature Coast Anesthesia Providers Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578557104 PECOS PAC ID: 2163471723 Enrollment ID: O20050120000852 |
| Entity Name | Mills Ave Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861777971 PECOS PAC ID: 5395025662 Enrollment ID: O20161201001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Jana Petra, MD 421 Se Alfred Markham St, Lake City, FL 32025-2204 Ph: (386) 697-1364 | Jana Petra, MD 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (352) 253-3333 |
Scott Jay Bullard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Victor A. Argumedo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-867-8311 Fax: 352-867-1053 | |
Mary Theresa Elengical, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Department Of Anesthesia, Tavares, FL 32778 Phone: 352-253-3333 | |
Dr. John Edwin Dennie, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 | |
Kenneth A Buddendorf Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Joseph Gartner, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 352-589-3487 | |
Radhakrisna Rajulapati, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 |