| Jeremy White, DO | |
|
3100 E Fletcher Ave, Tampa, FL 33613-4613 | |
| (813) 971-6000 | |
| (813) 972-5753 |
| Full Name | Jeremy White |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 18 Years |
| Location | 3100 E Fletcher Ave, Tampa, 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 |
|---|---|---|---|
| 1912103573 | NPI | - | NPPES |
| 003854800 | Medicaid | FL | |
| 14F2G | Other | FL | BCBS FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OT011974 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | OS11399 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth North Pinellas | Tarpon springs, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tampa Bay Emergency Physicians, Llc | 0345260345 | 31 |
| Entity Name | Tampa Bay Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
| Entity Name | Tampa Bay Emergency Physicians-heartland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043661408 PECOS PAC ID: 0749577781 Enrollment ID: O20160920000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy White, DO 12479 Telecom Dr, Temple Terrace, FL 33637-0913 Ph: (813) 972-4199 | Jeremy White, DO 3100 E Fletcher Ave, Tampa, FL 33613-4613 Ph: (813) 971-6000 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Paul Carl Prator, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 Fax: 813-615-7590 | |
Troy Michael Sterk, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3910 Northdale Blvd Ste 206, Tampa, FL 33624 Phone: 813-264-7922 Fax: 813-264-6585 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 |