| Leigh Ann Medaris, MD | |
|
10000 Bay Pines Blvd, Building 22, Room 355, Bay Pines, FL 33744 | |
| (727) 398-6111 | |
| Not Available |
| Full Name | Leigh Ann Medaris |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 10000 Bay Pines Blvd, Bay Pines, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487945333 | NPI | - | NPPES |
| 1487945333 | Medicaid | NC | |
| NC2868 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 172885 (North Carolina) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 2016-00280 (North Carolina) | Primary |
| Entity Name | Carolinas Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Ann Medaris, MD 487 30th Ave N, St Petersburg, FL 33704-2118 Ph: () - | Leigh Ann Medaris, MD 10000 Bay Pines Blvd, Building 22, Room 355, Bay Pines, FL 33744 Ph: (727) 398-6111 |
Ms. Bernard Khaw, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Constantin Badea, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. Rowena Peralta Seltzer, D.O. Infectious Disease Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 717-398-6661 | |
Dr. Neelima Nadella, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 | |
Dr. James M. Roa, D.O. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Bay Pines Va Hospital, 10,000 Bay Pines Bld., Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-319-1276 | |
Arif Ur Rehman, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 10000 Bay Pines Blvd Bay Pines, Bay Pines, FL 33744 Phone: 321-438-4891 | |
Dr. Martin Hugh Max, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Va Medical Center 10000 Bay Pines Blvd, Bay Pines, FL 33744 Phone: 727-398-6661 Fax: 727-319-1276 |