| Wendy J Masterman, MD | |
|
21758 State Road 54, Lutz, FL 33549-6921 | |
| (813) 563-6070 | |
| (813) 563-6040 |
| Full Name | Wendy J Masterman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 21758 State Road 54, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891006888 | NPI | - | NPPES |
| ME117943 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 70973 (Georgia) | Secondary |
| 208000000X | Pediatrics | ME117943 (Florida) | Primary |
| Entity Name | Premier Community Health Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701 |
| Entity Name | Sandhill Pediatrics, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902302748 PECOS PAC ID: 6204172521 Enrollment ID: O20190108001416 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy J Masterman, MD 21758 State Road 54, Lutz, FL 33549-6921 Ph: (813) 563-6070 | Wendy J Masterman, MD 21758 State Road 54, Lutz, FL 33549-6921 Ph: (813) 563-6070 |
Sonia Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23026 State Road 54, Lutz, FL 33549 Phone: 813-751-3131 | |
Saumeel Rashmikant Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 | |
Dr. Payal Pritesh Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18928 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694 | |
Dr. Neil Hans Surti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24630 State Road 54, Building 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 | |
Dr. Frances Morales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24630 State Road 54, Bldg. 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157 | |
Kristina Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 | |
Jamie A Mallah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4683 Van Dyke Rd, Lutz, FL 33558 Phone: 813-968-7171 Fax: 813-968-7282 |