| Grace Colarossi, | |
|
1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 | |
| (941) 629-6262 | |
| Not Available |
| Full Name | Grace Colarossi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1641 Tamiami Trl Ste 1, Port Charlotte, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063231264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Port Charlotte | Port charlotte, FL | Hospital |
| Hca Florida Fawcett Hospital | Port charlotte, FL | Hospital |
| Hca Florida Bayonet Point Hospital | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Farhan Siddiqi Md Pa | 4284936113 | 14 |
| Advanced Orthopedic Center Of Charlotte County, Pa | 0042106528 | 36 |
| Entity Name | Advanced Orthopedic Center of Charlotte County, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639177579 PECOS PAC ID: 0042106528 Enrollment ID: O20040223000719 |
| Entity Name | Farhan Siddiqi MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750752291 PECOS PAC ID: 4284936113 Enrollment ID: O20160108000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Colarossi, 6 Parkside Cir Unit 6312, Punta Gorda, FL 33950-4372 Ph: Not Available | Grace Colarossi, 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948-1018 Ph: (941) 629-6262 |
Tyler Thomas Reed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Harbor Blvd Ste 7, Port Charlotte, FL 33952 Phone: 941-766-5095 Fax: 941-206-0326 |
David Andrew Kellenberger, PA, RD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2343 Aaron St, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 |
Jessica Blanco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3340 Tamiami Trl, Port Charlotte, FL 33952 Phone: 941-764-5858 Fax: 941-764-1657 |
Mrs. Susan Jane Nolan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 |
Grace Diana Tice, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1641 Tamiami Trl Ste 1, Port Charlotte, FL 33948 Phone: 941-629-6262 |
Iris Jeanne Swiderski, DHSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-629-1181 |
Karlie Sweiderk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2040 Tamiami Trl, Port Charlotte, FL 33948 Phone: 856-558-2924 |