| Richard L Nutt Jr, MD | |
|
1401 W Bay Dr, Largo, FL 33770-2207 | |
| (727) 585-9500 | |
| (727) 584-1938 |
| Full Name | Richard L Nutt Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1401 W Bay Dr, Largo, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821070293 | NPI | - | NPPES |
| 53202 | Other | FL | BCBS |
| 0007307922 | Other | FL | AETNA |
| 274989100 | Medicaid | FL | |
| U7288Y | Other | FL | MEDICARE GTBA REASSIGN |
| 7118692 | Other | FL | CIGNA |
| P00420506 | Other | FL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME95431 (Florida) | Primary |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Nutt Jr, MD 1301 2nd Ave Sw, Largo, FL 33770-3120 Ph: (727) 581-8767 | Richard L Nutt Jr, MD 1401 W Bay Dr, Largo, FL 33770-2207 Ph: (727) 585-9500 |
Dr. Ivana Gagula-latham, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 561-699-2954 | |
Dr. Robert A. Levenson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
David Jabs, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 | |
Jonathan Dunn, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 727-586-7103 Fax: 727-585-7205 | |
Jonathan Radin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8787 Bryan Dairy Rd, Largo, FL 33777 Phone: 727-394-5331 | |
Dr. Andrew Peters, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-584-1938 | |
Dr. Carl A Tandatnick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 2nd Ave Sw, Largo, FL 33770 Phone: 727-584-7706 Fax: 727-585-4619 |