| Christopher J Wittmann, PAC | |
|
8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 | |
| (727) 264-8865 | |
| (727) 608-4479 |
| Full Name | Christopher J Wittmann |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 8146 Cerebellum Way, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437199486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9102804 (Florida) | Primary |
| Entity Name | Trinity Pain Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942525688 PECOS PAC ID: 0042340986 Enrollment ID: O20100619000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher J Wittmann, PAC 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 Ph: (727) 264-8865 | Christopher J Wittmann, PAC 8146 Cerebellum Way, Suite 102, Trinity, FL 34655-1784 Ph: (727) 264-8865 |
Alyssa Siegworth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8141 Bellarus Way Ste 103, Trinity, FL 34655 Phone: 727-910-2395 |
Rebeka Brouillard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3531 Little Rd, Trinity, FL 34655 Phone: 727-375-1548 Fax: 727-375-1557 |
Gary F Pastizzo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9332 State Road 54 Ste 405, Trinity, FL 34655 Phone: 727-375-8264 |
Cara Mallory, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1404 Epiphany Way Unit Q-103, Trinity, FL 34655 Phone: 727-389-4442 |
Kaley Ramsay, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9320 State Road 54, Trinity, FL 34655 Phone: 727-842-8411 |
Stacey B Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2160 Duck Slough Blvd Ste 103, Trinity, FL 34655 Phone: 727-807-9070 Fax: 727-807-5801 |
Crystal Faith Webster, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3543 Little Rd, Trinity, FL 34655 Phone: 727-848-6400 |