| Kendall Baldwin Harris, PAAA | |
|
3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 | |
| (727) 725-6111 | |
| Not Available |
| Full Name | Kendall Baldwin Harris |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 32 Years |
| Location | 3231 Mcmullen Booth Rd, Safety Harbor, 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 |
|---|---|---|---|
| 1295757656 | NPI | - | NPPES |
| 100001848B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 002461 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA656 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morton Plant Mease Healthcare Countryside | Safety harbor, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Baldwin Harris, PAAA 2995 Drew St, Clearwater, FL 33759-3012 Ph: () - | Kendall Baldwin Harris, PAAA 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695-6607 Ph: (727) 725-6111 |
Kimberley Jean Boosales, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6111 | |
Savannah Marie Peppe, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6111 | |
Loula Kelarakos, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6111 | |
Vladislav Sokol, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6111 | |
Jake Peter Welch, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6111 | |
Javier Carbonell, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 305-896-3962 |