Dr Jordan N Halsey, MD | |
601 5th St S Ste 611, Saint Petersburg, FL 33701-4804 | |
(727) 767-4920 | |
(727) 767-4923 |
Full Name | Dr Jordan N Halsey |
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Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 601 5th St S Ste 611, Saint Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194145292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME150379 (Florida) | Primary |
Entity Name | Pediatric Physician Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
Mailing Address | Practice Location Address |
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Dr Jordan N Halsey, MD 601 5th St S Ste 611, Saint Petersburg, FL 33701-4804 Ph: (727) 767-4920 | Dr Jordan N Halsey, MD 601 5th St S Ste 611, Saint Petersburg, FL 33701-4804 Ph: (727) 767-4920 |
Amanda Weil Harrington, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 601 5th St S, Saint Petersburg, FL 33701 Phone: 727-767-4170 | |
William W Adams, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 Phone: 727-328-2299 Fax: 727-327-1404 | |
Dr. Tom R. Karl, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 601 5th St S Ste 601, Saint Petersburg, FL 33701 Phone: 727-898-7451 | |
Ernest C Rehnke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 780 94th Ave N Ste 112, Saint Petersburg, FL 33702 Phone: 727-344-0640 Fax: 727-344-0669 |