| Glenn M Little Jr, PA | |
|
11420 N 56th St, Temple Terrace, FL 33617-2237 | |
| (813) 971-3136 | |
| (813) 910-3569 |
| Full Name | Glenn M Little Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 11420 N 56th St, Temple Terrace, 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 |
|---|---|---|---|
| 1396727152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA9111517 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tampa General Medical Group Inc | 7416253828 | 353 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Entity Name | Tampa General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn M Little Jr, PA 11420 N 56th St, Temple Terrace, FL 33617-2237 Ph: (813) 971-3136 | Glenn M Little Jr, PA 11420 N 56th St, Temple Terrace, FL 33617-2237 Ph: (813) 971-3136 |
Shane Michael Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617 Phone: 813-978-9700 Fax: 813-558-6185 |
Georgina R Crago, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Leticia S Worsham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-972-5055 |
Nicole R Ploger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6187 |
Nathan Bevan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6186 |
Sarah M Souza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 100, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 |
Shannon Rose Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-978-9700 Fax: 813-558-6185 |