| Jared Devirgilis, PA-C | |
|
206 2nd St E, Bradenton, FL 34208-1042 | |
| (941) 746-5111 | |
| (941) 745-7233 |
| Full Name | Jared Devirgilis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 206 2nd St E, Bradenton, 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 |
|---|---|---|---|
| 1548719065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA 9109796 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Tennessee Llc | 0547667552 | 141 |
| Floyd Physicians Llc | 6406852375 | 62 |
| Entity Name | Premier Orthopaedics & Sports Medicine PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972577351 PECOS PAC ID: 9032023320 Enrollment ID: O20040301001152 |
| Entity Name | Ap of Nashville, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174990899 PECOS PAC ID: 7012206733 Enrollment ID: O20160519002106 |
| Entity Name | Privia Medical Group Tennessee LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376110858 PECOS PAC ID: 0547667552 Enrollment ID: O20210917001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Devirgilis, PA-C 367 S. Gulph Rd, Attn: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (941) 746-5111 | Jared Devirgilis, PA-C 206 2nd St E, Bradenton, FL 34208-1042 Ph: (941) 746-5111 |
Marcie Kroska, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |
Krystina Marian Hadra, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4502 Cortez Rd W Ste 205, Bradenton, FL 34210 Phone: 941-259-8505 Fax: 941-259-8501 |
Mindy Oberley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 59th St W Ste 2200, Bradenton, FL 34209 Phone: 941-794-5621 |
Mr. Daniel H Ober, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 75th St W, Bradenton, FL 34209 Phone: 941-761-1616 Fax: 941-761-3807 |
Jamie Lee Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8000 Sr 64 E, Bradenton, FL 34212 Phone: 941-792-1404 Fax: 941-761-0712 |
Georgia Ireland, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5318 34th St West, Bradenton, FL 34210 Phone: 941-758-0205 |
Erin N Allendorfer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-746-5111 Fax: 941-745-7233 |