| Pamela D Louderback, ARNP | |
|
700 6th Street South, St. Petersburg, FL 33701-4814 | |
| (904) 446-3701 | |
| (888) 507-9833 |
| Full Name | Pamela D Louderback |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 700 6th Street South, St. Petersburg, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104932896 | NPI | - | NPPES |
| 304014300 | Medicaid | FL | |
| 7373704 | Other | AETNA | |
| P00226381 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ARNP1095812 (Florida) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | ARNP1095812 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coastal Home Care Inc | Clearwater, FL | Home health agency |
| Palms Of Pasadena Hospital | Saint petersburg, FL | Hospital |
| St Anthonys Hospital | Saint petersburg, FL | Hospital |
| Northside Hospital | Saint petersburg, FL | Hospital |
| Bayfront Health - St Petersburg | Saint petersburg, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunergy Physicians Llc | 0547672776 | 8 |
| Entity Name | Nautilus Health Care Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803 |
| Entity Name | Sunergy Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386247658 PECOS PAC ID: 0547672776 Enrollment ID: O20201214000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela D Louderback, ARNP 5220 Belfort Rd, Suite 130, Jacksonville, FL 32256-6017 Ph: (904) 446-3701 | Pamela D Louderback, ARNP 700 6th Street South, St. Petersburg, FL 33701-4814 Ph: (904) 446-3701 |