| Meira Marna Pernicone, MD | |
|
17416 Brookside Trace Ct., Tampa, FL 33647 | |
| (813) 974-5275 | |
| (813) 908-8835 |
| Full Name | Meira Marna Pernicone |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 17416 Brookside Trace Ct., Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992824122 | NPI | - | NPPES |
| 14FX3 | Other | FL | BLUE CROSS BLUE SHIELD |
| 003930900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME58939 (Florida) | Primary |
| Entity Name | Tampa General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
| Mailing Address | Practice Location Address |
|---|---|
| Meira Marna Pernicone, MD 5922 Tarawood Dr, Orlando, FL 32819-4420 Ph: (407) 620-9596 | Meira Marna Pernicone, MD 17416 Brookside Trace Ct., Tampa, FL 33647 Ph: (813) 974-5275 |
Dr. Michael Martin Wach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916 | |
Dr. Ricardo Emmanuel Rendel, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-821-8038 | |
Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222 | |
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
Brad L Johnson, MD Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 |