| Ethan Paul Reid, APRN | |
|
1839 Central Ave., St. Petersburg, FL 33713-8900 | |
| (727) 322-1054 | |
| (727) 821-7213 |
| Full Name | Ethan Paul Reid |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1839 Central Ave., St. Petersburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265951891 | NPI | - | NPPES |
| S59UH | Other | FL | BCBS |
| 022437600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9283538 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN9283538 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Primary Care Llc | 2062646227 | 2 |
| Entity Name | Medi Clinics Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120534 PECOS PAC ID: 6608029152 Enrollment ID: O20130111000041 |
| Entity Name | Health First Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609218098 PECOS PAC ID: 2062646227 Enrollment ID: O20131002000239 |
| Entity Name | Nulife Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750140885 PECOS PAC ID: 5395269302 Enrollment ID: O20250411001851 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Paul Reid, APRN 1839 Central Ave., St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 | Ethan Paul Reid, APRN 1839 Central Ave., St. Petersburg, FL 33713-8900 Ph: (727) 322-1054 |
Kelsey Langford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8950 Dr M.l.k. Jr St N, Unit 102, St. Petersburg, FL 33702 Phone: 727-498-8898 | |
Mrs. Gail Lynn Davenport, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6017th St S, St. Petersburg, FL 33701 Phone: 727-893-6234 Fax: 727-553-7798 | |
Elisa Rosario Icaza, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 66th St. N., Suite 510, St. Petersburg, FL 33710 Phone: 727-384-2479 Fax: 727-384-3573 | |
Ashley Gortemoller Briggs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 8th Street South, Suite A, St. Petersburg, FL 33701 Phone: 727-329-8830 Fax: 727-329-8840 | |
Marieta Georgieva Fryer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave, St. Petersburg, FL 33713 Phone: 727-322-1054 Fax: 727-821-7213 | |
Mrs. Susan Aileen Lewis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Bay Pines Blvd, St. Petersburg, FL 33708 Phone: 727-398-6661 |