| Michael David Puchalski, | |
|
601 5th St S, St Petersburg, FL 33701-4804 | |
| (727) 767-3333 | |
| Not Available |
| Full Name | Michael David Puchalski |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 601 5th St S, St 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 |
|---|---|---|---|
| 1639258106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 341951-1205 (Utah) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | ME146696 (Florida) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Puchalski, Po Box 581100, Salt Lake City, UT 84158-1100 Ph: (801) 213-3900 | Michael David Puchalski, 601 5th St S, St Petersburg, FL 33701-4804 Ph: (727) 767-3333 |
Dr. Stephen Rogers Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Supamit Ukarapong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-3636 | |
Kristy W Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 6th Ave S, St Petersburg, FL 33701 Phone: 727-767-4243 Fax: 727-767-8612 | |
Kenneth Franz-joseph Hearn, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6671 13th Ave N Ste 1d, St Petersburg, FL 33710 Phone: 727-381-1147 Fax: 727-345-2489 | |
Dr. Lori Ann Mcauliffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Pasadena Ave S, St Petersburg, FL 33707 Phone: 727-345-2212 Fax: 727-381-3444 | |
Dr. Mayer Michael Eisenfeld, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 9th St N, St Petersburg, FL 33704 Phone: 727-821-2121 Fax: 727-822-3285 | |
Dr. Jennifer Beck Dean, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 5th St S, St Petersburg, FL 33701 Phone: 727-767-4176 |